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      • SCOPUSKCI등재

        FDG-PET/CT as prognostic factor and surveillance tool for postoperative radiation recurrence in locally advanced head and neck cancer

        Giwon Kim,Yeon Sil Kim,Eun Ji Han,Ie Ryung Yoo,Jin-Ho Song,Sang-Nam Lee,Jong Hoon Lee,Byung-Oak Choi,Hong-Seok Jang,Sei-Chul Yoon 대한방사선종양학회 2011 Radiation Oncology Journal Vol.29 No.4

        Purpose: To evaluate the prognostic value of metabolic tumor volume (MTV) and maximum standardized uptake value (SUVmax) on initial positron emission tomography-computed tomography (PET-CT) and investigate the clinical value of SUVmax for early detection of locoregional recurrent disease after postoperative radiotherapy in patients with locally advanced head and neck squamous cell carcinoma (HNSCC). Materials and Methods: A total of 100 patients with locally advanced HNSCC received primary tumor excision and neck dissection followed by adjuvant radiotherapy with or without chemotherapy. The MTV and SUVmax were measured from primary sites and neck nodes. The prognostic value of MTV and SUVmax were assessed using initial staging PET/CT (study A). Follow-up PET/CT scan available after postoperative concurrent chemoradiotherapy or radiotherapy were evaluated for the SUVmax value and correlated with locoregional recurrence (study B). A receiver operating characteristic (ROC) curve analysis was used to define a threshold value of SUVmax with the highest accuracy for recurrent disease assessment. Results: High MTV (>41 mL) is negative prognostic factor for disease free survival (p = 0.041). Postradiation SUVmax was significantly correlated with locoregional recurrence (hazard ratio 1.812; 95% confidence interval 1.361 to 2.413; p < 0.001). A cut-off value of 5.38 from follow-up PET/CT was identified as having maximal accuracy for detecting locoregional recurrence by ROC analysis. Conclusion: MTV at staging work-up was significantly associated with disease free survival. The SUVmax value from follow-up PET/CT showed high diagnostic accuracy for the detection of locoregional recurrence in postoperatively irradiated HNSCC.

      • KCI등재

        Utilization Characteristics and User Satisfaction by Type of Physical Therapy Service in Senior Centers

        Song, Eseul,Kim, Giwon 대한물리치료학회 2018 대한물리치료학회지 Vol.30 No.4

        Purpose: This study was conducted to identify the characteristics of physical therapy service utilization and user satisfaction depending on the experience with therapeutic exercise or ultrasound intervention among elderly persons using senior centers. Methods: The subjects were adults aged over 60 years (total 215) recruited in 40 senior centers located in each province in South Korea. Subjects responded to questions concerning overall demographics factors, utilized characteristics of physical therapy service and 12 variety user satisfactions with effectiveness, facilities, and therapist using a survey instrument. The collected data were analyzed by Fishers' exact tests and t-tests using the SPSS 21.0 program to compare the results of elderly persons who had or had not experienced exercise therapy or ultrasound therapy. Results: The participants that experienced ultrasound therapy or therapeutic exercise reported significantly higher overall results pertaining to effectiveness of physical therapy and a clear explanation from physical therapist's satisfaction than those who were non-experienced. Satisfaction with pain relief was significantly higher among elderly who experienced therapeutic exercise than those who did not. Those who underwent ultrasound therapy showed significantly higher satisfaction with facilities and location than those who did not. Conclusion: The results of this study suggest that satisfaction among users differs by type of physical therapy. In the future, physiotherapy services provided in senior centers needs to be designed to improve the effectiveness of physical therapy, professionalism of physical therapists and comfort of facility.

      • KCI등재

        Utilization Characteristics and User Satisfaction by Type of Physical Therapy Service in Senior Centers

        ( Eseul Song ),( Giwon Kim ) 대한물리치료학회 2018 대한물리치료학회지 Vol.30 No.4

        Purpose: This study was conducted to identify the characteristics of physical therapy service utilization and user satisfaction depending on the experience with therapeutic exercise or ultrasound intervention among elderly persons using senior centers. Methods: The subjects were adults aged over 60 years (total 215) recruited in 40 senior centers located in each province in South Korea. Subjects responded to questions concerning overall demographics factors, utilized characteristics of physical therapy service and 12 variety user satisfactions with effectiveness, facilities, and therapist using a survey instrument. The collected data were analyzed by Fishers’ exact tests and t-tests using the SPSS 21.0 program to compare the results of elderly persons who had or had not experienced exercise therapy or ultrasound therapy. Results: The participants that experienced ultrasound therapy or therapeutic exercise reported significantly higher overall results pertaining to effectiveness of physical therapy and a clear explanation from physical therapist’s satisfaction than those who were non-experienced. Satisfaction with pain relief was significantly higher among elderly who experienced therapeutic exercise than those who did not. Those who underwent ultrasound therapy showed significantly higher satisfaction with facilities and location than those who did not. Conclusion: The results of this study suggest that satisfaction among users differs by type of physical therapy. In the future, physiotherapy services provided in senior centers needs to be designed to improve the effectiveness of physical therapy, professionalism of physical therapists and comfort of facility.

      • KCI등재

        제주도 공공 관정 지질주상도 DB 구축 소개

        박성현,고기원,박준범,문덕철,윤우석,Pak, Song-Hyon,Koh, Giwon,Park, Junbeom,Moon, Dukchul,Yoon, Woo Seok 대한자원환경지질학회 2015 자원환경지질 Vol.48 No.6

        제주도 수문지질 종합 해석시스템 구축 연구의 일환으로 수행된 제주도 공공 관정 지질주상도 데이터베이스 구축결과를 소개한다. 1970년대부터 개발된 제주도 전역의1,200여 개 공공 관정의 지질주상도를 수문지질 조사소(炤)${\Pi}$맙$^{\circ}$ 범용할 수 있도록 6개의 속성 테이블로 구분하여 세부 정보를 데이터베이스화하여 분석을 수행한 결과, 기존 공공 관정지질주상도 이용에 다음과 같은 문제점이 있는 것으로 나타났다. 즉, (1) 지질주상도 암석명의 통일성 결여, (2) 화산쇄설층 및 사력층 개념 정립 필요, (3) 대수층 정보 불포함, (4) 상당수 관정에 대한 스크린설치 구간 심도 미기재, (5) 지질주상도 작성자별 기재 사항 및 내용상의 상이성 등이다. 연구팀은 상기와 같은 문제점들을 개선하기 위해 지질주상도상의 화산암 및 퇴적암 명칭을 재정립함과 아울러, 상용화된 데이터베이스 형식의 지질주상도 프로그램을 이용해 표준화된 입력과 출력형식 생성이 가능한 제주도 공공 관정 지질주상도 데이터베이스를 구축하였다. 새롭게 설계된 입력 테이블을 이용한 지질주상도 프로그램은 데이터베이스 입력 형식 기반을 가지고 있어, 사용자가 지정한 표준화된 입력 구조를 통해 지질, 관정 시추 및 시험 데이터들을 저장하여 데이터베이스화 함과 동시에 지질주상도와 단면도 출력에도 이용할 수 있다. 또한 지하수 관측 및 양수시험 결과 등의 새로운 자료도 데이터베이스 구조의 변경없이 쉽게 추가될 수 있다. 본 연구를 통해 구축된 지질주상도 데이터베이스는 향후 개발되는 관정들의 표준 데이터베이스 기준으로 활용됨으로써, 일관성 있는 지질주상도 작성과 수문지질 종합연구에 크게 도움이 될 전망이다. 또한, 현재 추진 중인 제주도 수문지질 해석시스템 개발과 기후변화에 대응한 통합수자원관리계획 기반기술을 뒷받침해 주는 초석이 될 것으로 기대된다. This study introduces newly implemented geological well logs database for Jeju public water wells, built for a research project focusing on integrated hydrogeology database of Jeju Island. A detailed analysis of the existing 1,200 Jeju Island geological logs for the public wells developed since 1970 revealed six major indications to be improved for their use in Jeju geological logs DB construction: (1) lack of uniformity in rock name classification, (2) poor definitions of pyroclastic deposits and sand and gravel layers, (3) lack of well borehole aquifer information, (4) lack of information on well screen installation in many water wells, (5) differences by person in geological logging descriptions. A new Jeju geological logs DB enabling standardized input and output formats has been implemented to overcome the above indications by reestablishing the names of Jeju volcanic and sedimentary rocks and utilizing a commercial, database-based input structured, geological log program. The newly designed database structure in geological log program enables users to store a large number of geology, well drilling, and test data at the standardized DB input structure. Also, well borehole groundwater and aquifer test data can be easily added without modifying the existing database structure. Thus, the newly implemented geological logs DB could be a standardized DB for a large number of Jeju existing public wells and new wells to be developed in the future at Jeju Island. Also, the new geological logs DB will be a basis for ongoing project 'Developing GIS-based integrated interpretation system for Jeju Island hydrogeology'.

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