• 제목/요약/키워드: treatment patterns

검색결과 1,856건 처리시간 0.028초

Characteristics of Surface Modified Activated Carbons Prepared by Potassium Salt Sequentially After Hydrochloric Acid Treatment

  • Oh, Won-Chun;Park, Chong-Sung;Bae, Jang-Soon;Ko, Young-Shin
    • Carbon letters
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    • 제7권1호
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    • pp.34-41
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    • 2006
  • The objective of this paper is to compare the variation of surface properties by hydrochloric acid pre-treatment and of metallic potassium and their salts loading effect for activated carbon after surfaces transformation by acid. From the results of nitrogen adsorption, each isotherm shows a distinct knee band, which is closely related to the characteristic of microporous carbons with capillary condensation in micropores. In order to present the causes of the differences in surface properties and $S_{BET}$ after the samples were treated with hydrochloric acid, pore structure and surface morphology are investigated by adsorption analysis. X-ray diffraction (XRD) patterns indicate that activated carbons show better performance for metallic potassium and potassium salts by pre-treatment with hydrochloric acid. Scanning electron microscopy (SEM) pictures of potassium/activated carbon particles provide information about the homogeneous distribution of metal or metal complex on the surface. For the chemical composition microanalysis for potassium treatment of the activated carbon pre-treated with hydrochloric acid, samples were analyzed by energy disperse X-ray (EDX). Finally, the type and quality of oxygen groups are determined from the method proposed by Boehm. A positive influence of the acidic groups on the carbon surface by acid treatment is also demonstrated by an increase in the contents of potassium salts with increasing of acidic groups calculated from Boehm titration.

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열처리 조건에 따른 Bi계 초전도체에서 상 생성 과정에 대한 연구 (A Study on the Phase Formation Process in Bi-system Superconductor with Heat Treatment Conditions)

  • 정진인;이준웅;박용필
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 1999년도 추계학술대회 논문집
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    • pp.221-223
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    • 1999
  • In this work, samples were manufactured variously by changing conventional calcining and sintering conditions and we tried the utilization by making the heat treatment time, which is demanded to high-Tc phase formation, much shorter. We found out optimal heat treatment conditions with the analysis on formation process at superconducting phase in term of the change of calcining and sintering time and then, examined X-ray diffraction(XRD) patterns, scanning electron microscope(SEM) measurement and energy dispersive X-ray spectrometer(EDX) of the samples manufactured under heat treatment conditions which we suggest here. As a result, 2223 high-$T_c$, phase of (Bi,Pb)SrCaCuO superconductor starting with ($Bi_l$ xPbx,)$_2$$Sr_2$$Ca_2$$Cu_3$$O_y$, composition was formed from 1 hr sintering sample at temperature nearby melting point and also the completed sample with calcining and sintering time of 9 hr was formed high-$T_c$.low-$T_c$ phase appearing in sight above the critical temperature of liquid $N_2$.

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표치와 본치의 측면에서 경혈 선혈의 원리 (The Principle of Acupoint Selection Based on Branch and Root Treatment)

  • 이인선;류연희;채윤병
    • Korean Journal of Acupuncture
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    • 제37권3호
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    • pp.203-208
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    • 2020
  • Objectives : Since there are complex associations between diseases/symptoms and acupoints, one-to-one correspondence may not be the proper approach. Pattern identification has been being used as a clinical framework to make treatment decisions by extracting and synthesizing clinical data including patients' signs and symptoms. In this article, we propose two different models explaining the relationships between diseases and acupoints based on the branch treatment [Zhibiaofa] and the root treatment [Zhibenfa]. Methods : We explained the relationships between diseases/symptoms and acupoints from the example data from our previous study on traditional acupuncture point selection patterns for pain control. Diseases include low back pain, migraine, irritable bowel syndrome, osteoarthritis, ankle sprain, carpal tunnel syndrome, and dysmenorrhea, and acupoints included LI4, BL23, BL25, SP6, BL60, TE5, and CV4. Results : The relationships between diseases/symptoms and acupoints can be explained directly based on the branch treatment, and also can be explained indirectly through pattern identification based on the root treatment. Pattern identifications included both meridian-based pattern identification based on the spatial information of diseases and visceral organ-based pattern identification based on the characteristics of diseases. Conclusions : In the East Asian traditional medicine, Korean medicine doctors choose the most appropriate acupoints based either on the diseases/symptoms (i.e., branch treatment) or on the results of pattern identifications (i.e., root treatment). It is necessary to understand the two different approaches to choose specific acupoints for the targeted diseases.

보조적 표준 항암 화학요법에 비한 자가조혈모세포 이식 유방암 환자 삶의 질 내용 비교 (Comparison of Trajectory of Quality of Life in Patients with High Risk Breast Cancer Undergoing Adjuvant Chemotherapy and Autogenous Bone Marrow Transplantation)

  • 이은옥
    • 종양간호연구
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    • 제1권1호
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    • pp.5-17
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    • 2001
  • It is known that aggressive treatment of chemotherapy, radiation and autogenous stem cell transplantation is effective for prevention of recurrence in the high-risk breast cancer patients. It was assumed that this procedure takes a longer time and decreases the quality of life more than the standard adjuvant chemotherapy. However, there are few studies comparing the quality of life of patients having bone marrow transplantation and adjuvant chemotherapy. Most of the studies were focused on the quality of life in one point of time, such as only during the early treatment stage, only overall quality of life rather than specific dimensions of the quality of life. The purposes of this study are 1) to identify the difference of the quality of life between two different treatment patterns, adjuvant chemotherapy and autogenous stem cell transplantation: 2) to identify the mostly affected dimension and the periods of time affected by the treatment patterns; and 3) to identify the trajectories of quality of life in each treatment pattern. This is a time series design that measures 4 different points of times. At the beginning of the study, 19 patients were placed in the chemotherapy group and 12 in the group of auto-peripheral blood stem cell transplantation. The inclusion criterion was the advanced disease stage of 3 or over with metastasis of more than 5 lymph nodes. The exclusion criteria were 1) anyone who has metastasis to other organ; 2) anyone who had psychological problems. Ferrell's Quality of Life Scale for Cancer Survivors 41 items on a 10 point scale was used. The QOL-CS includes 4 dimensions, which were labeled physical, psychological, social, and spiritual. The Cronbach‘s alpha of this scale was 0.89. Mann-Whitney U test and Friedman test were used to test each hypothesis. In comparison of the two groups, the quality of life of the bone marrow transplantation group dramatically increased at the 3rd and 6th month after transplantation, while the chemotherapy groups results stayed lower. The most affected dimension of the quality of life at the end of the treatment was the physical dimension. However, it and increased along with time, while the psychological dimension values remained low over the long-term period. Intensive nursing care is needed during the entire period of chemotherapy in all patients having chemotherapy, and is also required for right after cases of bone marrow transplantation.

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수직적 안모유헝에 따른 치료 후 교합평면 안정성에 관한 연구 (Post-treatment stability of the occlusal plane according to different vertical facial patterns)

  • 박정은;이진우;정동화;차경석
    • 대한치과교정학회지
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    • 제36권5호
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    • pp.369-379
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    • 2006
  • 본 연구는 수직적 안모유형에 따른 치료 후 교합평면 변화양상을 조사하여 향후 적절한 치료계획과 기전의 설정에 도움이 되고자 시행하였다. 골격성 I급 부정교합으로 진단되어 비발치로 치료받은 성민 60명(남자 28명, 여자 32명)을 대상으로 하였으며, Ricketts법의 facial axis, facial depth, mandibular plane angle, lower face height, mandibular arc의 5개 항목을 이용하여 한국 성인의 정상교합자 통계치의 기준에 따라 short face type (1군), average face type (2군), long face type (3군)으로 분류하였다. 각 군의 치료 전, 치료 종료, 종료 후 1년의 측모두부 방사선사진 계측치를 비교 분석하였다. 1군은 치료 종료 시와 비교하여 유지기간에 일반적 교합평면각, 기능적 교합 평면각, L6/L1, MP-L6 항목이 유의하게 감소하였고(p < 0.01) L1-FOP 항목은 유의하게 증가하였다(p < 0.001). 2군은 유지기간에 유의한 변화를 보이지 않았으며 3군은 유지기간에 기능적 교합평면각이 유의하게 증가하였다(p < 0.05). 기능적 교합평면각의 치료 후 변화량은 각 군 간에 유의한 차이를 보였으며 특히, 1군과 3군 간에 매우 큰 유의성을 보였다. 따라서 치아의 압하, 정출 및 치료 후 전치부 피개 등에 있어 유지기간 중 교합평면각 변화의 고려가 필요하다고 생각된다.

한의임상진료지침 연계 건강보험 지불모형 개발을 위한 한의사 진료행태 및 모형 수용도 조사 (Survey on practice behavior and model acceptance of traditional Korean medicine(TKM) doctors in order to develop health insurance payment model related with TKM clinical practice guidelines(CPGs).)

  • 김동수;임병묵;한동운;박지은;정형선
    • 대한예방한의학회지
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    • 제21권3호
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    • pp.1-10
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    • 2017
  • Objectives : The purpose of this study is to investigate the practice patterns of traditional Korean medicine (TKM) doctors and the acceptance of payment model in order to develop a new TKM health insurance payment model linked with TKM clinical practice guidelines (CPGs). Methods : Lumbar herniated intervertebral disc (HIVD) and idiopathic facial palsy (IFP) were selected as a test diseases to develop a new TKM payment model. The level of benefit coverage in the National Health Insurance (NHI) was designed. The survey asked 228 TKM doctors about their practice patterns in HIVD and IFP patients and acceptance of new payment model. Results : Mean of medical cost for treatment of HIVD was 441,000 KW, mean of treatment period ranged from 4.9 to 17.5 weeks, and mean of number of treatment ranged from 14.6 to 50.4 HIVD patients. In the case of IFP, mean of medical cost for treatment of IFP was 468,000 KW, mean of treatment period was at least 4.2 and up to 15.9 weeks and mean of number of treatment ranged from 14.2 to 52 IFP patients. Conclusions : Current study suggests that mixed payment model of per-visit and episode-based model seem to be proper. The model 1 bundles both items which were covered and not covered by NHI in a rational way. The model 2 is based on the development and application of critical pathway. Lastly, model 3 suggests bundling of items covered by current NHI. Acceptance of TKM doctors is expected to be highest in the model 3.

최근 3년간 전북대학교 치과병원의 소아청소년환자 의뢰경향 (Referral Trends of Children in Jeonbuk National University Dental Hospital for Last 3 years)

  • 배철현;이대우;김재곤;양연미
    • 대한소아치과학회지
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    • 제46권4호
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    • pp.362-368
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    • 2019
  • 이 연구의 목적은 외부 의료기관에서 전북대학교 치과병원으로 의뢰된 환자의 경향을 분석하는 것이다. 이를 위하여 최근 3년간 전북대학교 치과병원에 의뢰되어 내원한 16세 미만의 환자를 대상으로 전자의무기록을 조사하였고, 환자의 분포 및 진료 내용을 분석하였다. 평균나이 7.4세의 환자가 의뢰되었으며, 남아가 여아보다 1.5배 더 많았다. 장애비율은 3.2%로, 지적장애의 비율이 가장 많았다. 의뢰기관은 주로 개인치과의원이었고, 의뢰이유로는 치료의 어려움이 가장 많았다. 의뢰환자는 주로 치료 전 단계에서 의뢰되었으며, 장애를 가지거나 의과적 질환이 있는 경우 치료 전 의뢰되는 비율이 더 높았다. 의뢰환자의 주소별 비율은 소수술, 수복치료, 교정치료, 치수치료 순이었다. 소아치과에서 이루어지는 2차 의뢰는, 1차 의뢰에 비하여 소수술과 치수치료로 의뢰되는 비율이 높았으며, 치료 전 단계에서 이루어지는 비율은 더 낮고, 치료 도중에 의뢰되는 비율은 더 높았다. 이 연구결과를 통해 소아치과의사가 의뢰된 환자를 진단 및 치료하는데 있어, 합리적인 기준에 근거한 증례선택 및 재의뢰가 필요하다는 것을 알 수 있었다.

진폭 기반 호흡연동 체적변조회전방사선치료의 선량학적 평가 (Dosimetric Evaluation of Amplitude-based Respiratory Gating for Delivery of Volumetric Modulated Arc Therapy)

  • 이창열;김우철;김헌정;박정훈;민철기;신동오;최상현;박승우;허현도
    • 한국의학물리학회지:의학물리
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    • 제26권3호
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    • pp.127-136
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    • 2015
  • 본 연구의 목적은 진폭 기반 호흡연동 체적변조회전방사선치료의 선량학적인 평가를 하고자 한다. 이 치료를 받은 환자의 호흡 Log 파일을 획득하여 분석하였으며, 4D CT 호흡 형태의 40%~60% 위상 영상 구간 진폭을 기준으로 치료 Log 파일 호흡 진폭의 구간이 4D CT의 진폭 구간과 일치하는 호흡 형태(CBP)와 일치하지 않는 호흡 형태(IBP)로 구분하였다. 상대적인 등선량 분포는 EBT3 필름을 사용하여 측정하였으며, 절대 선량 측정은 PTW $0.6cm^3$ 이온전리함을 이용하여 측정하였다. 감마 인덱스 3%/3 mm을 적용한 환자 1, 2, 3의 CBP 호흡인 경우 각각 93.18%, 91.16%, 95.46%이며, 환자 1, 2, 3의 IBP 호흡인 경우 각각 66.77%, 48.79%, 40.36%으로 분석되었다. 또한 감마 인덱스 2%/2 mm을 적용한 환자 1, 2, 3의 CBP 호흡인 경우 각각 73.05%, 67.14%, 86.85%이며, IBP 호흡인 경우 각각 46.53%, 32.73%, 36.51%으로 분석되었다. 모든 CBP호흡인 경우의 이온전리함 측정값은 치료계획 시스템에서 계산된 값과 평균 3.5% 이내로 일치하였으며, 정적인 팬톰 조사와의 차이는 평균 2.0% 이내로 일치하였다. 환자 3의 IBP 호흡인 경우 이온전리함 측정값과 계산된 값과의 차이가 평균 56%로 큰 차이를 보였다. 이는 4D CT의 진폭 구간과 치료시의 진폭 구간의 차이가 크기 때문인 것으로 사료되며, 4D CT 모의 치료시와 환자 치료시의 진폭의 크기를 일정하게 유지하는 것이 중요하다고 판단된다.

초정밀 평삭가공과 마이크로 펀칭가공을 위한 하이브리드 가공장비 및 공정기술 개발 (Development of Hybrid Machining System and Hybrid Process Technology for Ultra-fine Planing and Micro Punching)

  • 김한희;전은채;차진호;이재령;김창의;최환진;제태진;최두선
    • 한국기계가공학회지
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    • 제12권6호
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    • pp.10-16
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    • 2013
  • Ultra-fine planing and micro punching are separately used for improving surface roughness and machining dot patterns, respectively, of metal molds. If these separate machining processes are applied for machining of identical molds, there could be an aligning mismatch between the machine tool and the mold. A hybrid machining system combining ultra-fine planing and micro punching was newly developed in this study in order to solve this mismatch; hybrid process technology was also developed for machining dot patterns on a mirror surface of a metal mold. The hybrid machining system has X, Y, and Z axes, and a cam axis for ultra-fine planing. The cam axis and attachable and removable solenoid actuators for micro punching can make large and small sizes of dot patterns, respectively. Ultra-fine planing was applied in the first place to improve the surface roughness of a metal mold; the measured surface roughness was about 20nm. Then, micro punching was applied to machine dot patterns on the same mold. It was possible to control the diameter of the dot patterns by changing the input voltage of the solenoid actuator. Before machining, severe inhomogeneous plastic deformation around the machined dot patterns was also removed by annealing heat treatment. Therefore, it was verified that metal molds with dots patterns for optical products can be machined using a hybrid machining system and the hybrid process technology developed in this study.

치매(痴呆)의 한열허실(寒熱虛實) 변증(辨證)을 위한 지표 문항 개발에 관한 기초 연구 (Preliminary Research for Development of Instrument for Cold-Heat & Deficiency-Excess Pattern Identification of Dementia)

  • 허은정;강형원;전원경
    • 동의생리병리학회지
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    • 제27권5호
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    • pp.553-562
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    • 2013
  • This study was performed to develop cold-heat and deficiency-excess pattern identification for dementia, as well as for standard Korean medicine diagnosis and treatment. Five experts comprised of 4 neuropsychiatrists of Korean medicine and 1 statistician to develop cold-heat and deficiency-excess pattern identification for dementia. We searched studies about pattern identification and selected 507 articles using Oasis search terms provided by the KIOM. As a result, 10 pattern identification research study were recruited. Moreover, we analyzed neuropsychological assessments for dementia that evaluate Behavioral and Psychological Symptoms of Dementia (BPSD) and cognitive function using experts conferences and we selected neuropsychological instruments using pattern identification. Six cold patterns, six heat patterns, ten deficiency patterns, and four excess patterns were identified according to the cold-heat and deficiency-excess pattern identification of dementia. We selected the Caregiver-Administered Neuropsychiatric Inventory and the Korean Mini-Mental State Examination as neuropsychological assessments of dementia, which examine behavioral symptoms and cognitive function, suspectively. We formed positive and negative correlation between Korean medicine pattern identification and neuropsychological assessments for dementia. We developed and suggested a forecast module of pattern identification for dementia. But, it is necessary to perform additional clinical trials to verify its validity and accuracy.