• The Korean Journal of Nuclear Medicine Technology
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• v.18 no.1
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• pp.149-152
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• 2014

Purpose: At our hospital blood is collected from a patient before an imaging test, with the concern of any effect possible when a nuclear medicine imaging test and an in-vitro test are carried out at the same time. However, occasionally, the blood collection is performed after an imaging test, with the reasons that the patient is not properly guided or the patient doesn't follow the guide correctly. In that case, we prefer to gather blood again after a few days. The purpose of this study is not only to see whether there is any effect of an imaging test on the result of the in-vitro test performed with the blood collected after the imaging test, but also to study how many days waiting after each test is appropriate to take a blood sample, if the effect exists. Materials and Methods: From September to October 2013, blood were collected from 13 patients in our hospital regardless of age and sex each time before and after the injection of the radioactive isotope from the tests : PET-CT, Gated Myocardial SPECT, and DTPA GFR Scan. Considering a half-life, AFP, CA19-9, CEA, TSH, and T3 were carried out right after the blood collection. In case of an iodine therapy, blood were taken each time before and after taking radioactive iodine, and, after AFP, CA19-9, and CEA, the difference between them in consistency and in cpm were compared. Results: With 10 patients after the imaging tests and 3 patients after the iodine therapy, their serum cpm was over 10,000. Over time, the cpm decreased in accordance with the half-life ($^{18}F$ 110minutes, $^{99}mTc$ 6hours, $^{201}Tl$ 72hours, $^{131}I$ 7days). Between the two cases, one before and the other after the injection of the radioactive isotope, the cpm and the results of AFP, CA19-9, CEA, TSH, and T3 from three patients each test, PET-CT, Gated Myocardial SPECT, and DTPA GFR Scan, were very similar. In addition, in case of an iodine therapy, there was also not a meaningful difference in the cpm and the results of AFP, CA19-9, and CEA, from three patients in an iodine therapy, between the two cases, one before and the other after taking the radioactive iodine. Conclusion: In case a blood collection was performed after the imaging test which required a radioactive isotope injection, the cpm increased, differently according to the kind of the radioactive isotope. However, the results of the in-vitro tests like AFP, CA19-9, CEA, TSH, T3, etc were nearly not affected. As the result, it's considered that there will not be any significant effect also from other tests, as the result from the performed seven tests.

• Journal of radiological science and technology
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• v.40 no.4
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• pp.633-638
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• 2017

The amount of radioactive waste has been rapidly increased with development of radiation treatment in medical field. Recently, it has been a common practice to use I-131 for thyroid cancer, F-18 for PET/CT and Tc-99m for diagnosis of nuclear medicine. All the wastes concerned have been disposed of by means of the self-disposal method, for example incineration, after storage enough to decay less than clearance level. IAEA proposed criteria for clearance level of waste which depends on the individual ($10{\mu}Sv/y$) and collective dose (1 man-Sv/y), and concentration of each nuclide (IAEA Safety Series No 111-P-1.1, 1992 and IAEA RS-G-1.7, 2004). In this study, specific radioactivity of radioactive waste contaminated with Re-186 was measured to confirm whether it meets the clearance level. Re-186 has long half life of 3.8 days relatively and emits beta and gamma radiation, therefore it can be applied in treatment and imaging purposes. The specific radioactivity of contaminated gloves weared by radiation workers was measured by MCA(Multi-channel Analyzer) which was calibrated by reference materials in accordance with the measuring procedure. As a result, comparison evaluation of decay storage period between the half-life which was calculated by attenuation curve based on real measurement and physical half-life was considered, and it is showed that the physical half-life is longer than induced half-life. Therefore, the storage period of radioactive waste for self-disposal may be curtailed in case of application of induced half-life. The result of this study will be proposed as ISO standard.

• Journal of the Korean Society of Radiology
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• v.13 no.2
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• pp.271-281
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• 2019

This study investigated the shielding efficiency of various types of shielding materials and measured the dose by organ using the phantom. Results of Shielding Efficiency Measurement Using Personal Radiation Meter. Among the various shielding materials, 1.1 mm RNS-TX composed of nano tungsten showed the highest shielding efficiency and 0.2 mm lead shielding showed the lowest shielding efficiency. 99mTc 30 mCi was exposed to the phantom for 120 minutes and the result of the measurement of the organs. 20.53 mSv without radiation protective clothing, 8.75 mSv when wearing 0.25 mm Pb protective clothing, 6.03 mSv when wearing 0.5 mm Pb protective clothing. 131I 2 mCi mCi was exposed to the phantom for 120 minutes and the result of the measurement of the organs. 7.71 mSv without radiation protective clothing, 4.88 mSv when wearing 0.25 mm Pb protective clothing, 2.79 mSv when wearing 0.5 mm Pb protective clothing. 18F 5 mCi was exposed to the phantom for 120 minutes and the result of the measurement of the organs. 16.39 mSv without radiation protective clothing, 15.84 mSv when wearing 0.25 mm Pb protective clothing, 12.52 mSv when wearing 0.5 mm Pb protective clothing. None of the radiation workers working in the nuclear medicine department exceeded the dose limit. However, when compared with other workers in the hospital, they showed a relatively high dose. Therefore, it is necessary to prepare measures to reduce and manage the dose of radiation workers in the nuclear medicine department through the wearing of radiation protective clothing made of lightweight, shielding material with good shielding efficiency, circulation task, task sharing, and substitution equipment such as auto dispenser.

• The Korean Journal of Nuclear Medicine Technology
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• v.23 no.1
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• pp.15-28
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• 2019

Purpose Nuclear medicine was initially introduced in Korea in 1969 and widely applied to treat hyperthyroidism with $^{131}I$. Also, gamma camera was adopted in 1969 in the first place and its application has been growing continually in many ways. We analyzed long-term trend in nuclear medicine examinations for the last 2 decades. The purpose of this paper is to make predictions and to set both plans and directions on the development of nuclear medicine. Materials and Methods We analyzed the performance of nuclear medicine examinations and therapies performed in Asan Medical Center from 1998 to 2017. Results Results from the last 20 years regarding Bone scan, Renal scan, MUGA scan and $^{18}F$-FPCIT, Bone Mineral Density were on a increase. And Myocardium perfusion SPECT, Thyroid scan, Lung scan were on a decrease while $^{18}F-FDG$ PET maintained on a steady course. Until 2010 there was a positive performance with the therapy but after the excessive medical care in thyroid examination performance is at status quo. Key events such as a medical strike(2000), Middle-East Respiratory Syndrome (2015) influenced the overall performance of the therapy. Conclusion In order to promote a long-term growth in nuclear medicine examination and therapy, it is inevitable to respond to the changes in current medical environment. Furthermore, it is strongly suggested to put efforts to maintain and develop new examinations and clinical indicators.

• Journal of the Korean Society of School Health
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• v.2 no.1
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• pp.48-57
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• 1989

To evaluate the college students' health status, the author distributed C.M.I. to 233 college students consisting of 102 males and 131 females who randomly selected from a college in seoul. The conclusion are as follow: 1. The mean of CMI scores for the male students was 32.84 and that for the female students was 43.25. Statistical significant difference was observed between the mean of CMI scores for male students and that for female students. 2. For male students, The CMI mean scores for the day students was 29.46 and for evening students was 35.85. There was no statistical significant difference the day students and that for the evening students. 3. For female students, the mean of CMI scores for day students was 42.40 and that for the evening students was 44.64. But there was no statistical significant difference between the mean CMI scores for the day students and that for the evening students. 4. In both female and male groups, the affirmative response rate of inadequacy, fatigability and eyes and ears are higher than any of the other items. 5. In comparing the CMI items of male students and female students, the significant differences cardiovascular system, musculoskeletal system, skin, nervous system, genitourinary system, fatigability, habits, inadequacy, depression and tension. The mean scores for female students, with the exception of habits, were higher than those for male students. 6. In comparing the CMI items of male day students and male evening students, there was significant difference in the items of the cardiovascular system, digestive tract, skin, genitourinary system, inadequacy, and anger : the mean scores of evening male students were higher than those of day students. 7. In the case of female students, the CMI mean scores of the evening students in the categories eyes and ears, cardiovascular system, digestive tract, musculoskeletal system, skin, genitourinary system, fatigability, inadequacy, depression, anxiety, and sensitivity were higher scores than those of the day students. However, the were no significant difference between both groups except in the cathgory of habits. 8. The frequency rate of neurotic students, who were identified by fukamachi's classification, were 12.5% in the day male students, 18.6% in th evening male students, 13.6% in the day female students, and 18.0% in the evening female students.

• Korean Journal of Food Science and Technology
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• v.49 no.2
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• pp.123-131
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• 2017

Norovirus causes frequent epidemic viral gastroenteritis in Korea. The team for the control of noroviral foodborne outbreaks (NOROTECL) executed a project to trace the cause of norovirus contamination in agricultural products and environmental samples to reduce norovirus outbreaks in Korea. Between January and November in 2015, the contaminations by norovirus and indicator microorganisms such as coliforms, Escherichia coil and male specific coliphage (MSC) were examined in 80 agricultural products, 80 soil samples, 78 human feces samples, 3 animal feces samples, 80 agricultural water samples and 80 river water samples. Semi-nested PCR and DNA sequencing revealed 18 genogroup I and 3 genogroup II noroviruses in a total of 18 samples. These noroviruses were validated by real-time (RT)-PCR analysis. For indicator microorganisms, coliform and E. coli were respectively detected in agricultural products (68, 1%), soils (88, 7%), human feces (44, 12.8%), animal feces (67, 67%), agricultural waters (74, 30%) and river waters (96, 51%). The MSC results revealed 14 positive samples.

• Journal of Nutrition and Health
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• v.24 no.2
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• pp.124-131
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• 1991

This study was to examine the effects of dietary protein levels and the sources of protein(animal and plant) on calcium and phosphorus metabo lism in 10 healthy Korean female adults. The 26­d day study consisted of a 6-day adaptation period and lO-day moderate protein(109 N, 550mg Ca) a and IO-day high protein( 14g N, 570mg Ca) pe­r riod. During the experimental period, the subjects w were divided into two groups, either consuming a animal protein diet(75 % animal protein) or plant protein diet(75 % plant protein). Calcium(300 mg) was supplemented to two subjects of each d dict group for the last 4 days. Feces, urine and diet were analyzed nitrogen. calcium and phos­p phorus. The apparent absorption of calcium was significantly increased as the protein intake was inc­r reased from 60g to 90g in animal protein diet. A Average calcium absorption rate was 30% and 46 % from high and moderate levels of animal p protein diet Urinary calcium excretion was not affected by t the amount of the protein intake in both animal and plant protein diet. There was significantly higher urinary calcium excretion(I34mg) in high I level of animal protein diet than that( 83mg) in h high level of plant protein diet. Calcium balance was improved as the protein intake increased and c calcium was supplemented. Phosphorus absorp­t tion was more efficient in the high animal diet(77.81 %) than in the high plant diet(55-65%). The overall results indicate that an increase of protein and calcium supplement in moderate pro­ttein intake can improve calcium balance due to the increase of calcium absorption.

• The Journal of the Korea Contents Association
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• v.14 no.5
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• pp.117-131
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• 2014

This study aims to explore the reexperience of trauma caused by experience of discrimination and stigma from South Korean. For this purpose of this study, focus group interview methods are used. The participants are five women who escaped from North Korea and they were from 20s to 50s. From the outcomes of this study, I find out that they had experienced to put in prison, to let arrest to let human traffic, and sexual or physical assault. Now they have PTSD(Post Trauma Stress Symptom) of nightmare related with past trauma, avoidance of interpersonal relationships and similar situations, and retrospection and memorization of negative experiences. In that situation, they also have experienced discrimination caused by lack of understanding of their suffering in South Korea. And almost of them suffer from poor situation economically and physically. Participants regret their entry to South Korea and perceive that their hope has gone. And they have anger of Korean's discrimination and stigma and they feel suicide impulse after experiencing very difficult situation. These negative experiences affect their PTSD and make reemergence of trauma experience. In conclusion, the outcomes of this study are discussed and I proposed the practical suggestions which have affected decreasing the PTSD.

• The Korean Journal of Nuclear Medicine
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• v.4 no.1
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• pp.11-18
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• 1970

호르몬의 면역학적(免疫學的) 측정법(測定法)은 내분비학적(內分泌學的)인 입장(立場)에서 가장 중요(重要)한 연구방법(硏究方法)의 하나이며, 또한 핵의학적(核醫學的) 입장(立場)에서도 방사성(放射性) 동위원소(同位元素)를 이용(利用)한 성체관내(誠體管內) 측정(測定)의 하나로 중요(重要)한 位置를 차지하고 있다. 이 방법(方法)의 일반원리(一般原理)는 방사성(放射性) 동위원소(同位元素)로 표지(標識)된 호르몬이 특정항체(特定抗體)에 대(對)하여 가역적(加逆的)으로 반응(反應)하고, 표지(標識)된 항원-항체(抗原-抗體) 복합체(複合體)를 형성(形成)하는데 근거(根據)를 두고 있다. 단일(單一) system내(內)에서 표지(標識)되지 않은 호르몬이 표지(標識)된 호르몬과 면역학적(免疫學的)으로, 특정항체(特定抗體)에 대(對)해 경합적(競合的)으로 작용(作用)하기 때문에, 실제적(實際的)으로는 일정량(一定量)의 표지(標識)된 호르몬과 일정량(一定量)의 항체(抗體)가 있는 조건(條件)하에서 미지성료(未知誠料)와 알려진 양(量)의 호르몬을 가진 표준(標準) 호르몬을 동시(同時)에 처리(處理)하여, 표준곡선(標準曲線)을 얻고, 여기에서 미지성료(未知誠料)의 흐르몬 양(量)을 추정(推定)하게 된다. 이때 경합적(競合的)으로 결합(結合)한 표지(標識)호르몬(bound form)과 결합(結合)하지 못한 표지(標識)호르몬(free form)을 분리(分離)하는 것이 필요(必要)하며, 전기영동법(電氣泳動法), 이중항체법(二重抗體法), solid phase법(法), 염석법(鹽析法) 및 효소(酵素)에 의한 단백소산법(消散法) 등이 이 목적(目的)을 위해 개발(開發)되어 있다. 이 중(中)에서 전기영동법(電氣泳動法)은 변성(變性)된 호르몬 및 유리(遊離)된 방사성옥소(放射性沃素)를 알 수 있는 특장(特長)이 있고, 이중항체법(二重抗體法) 등은 다수(多數)의 성료(誠料)를 처리하거나, 시간(時間)을 단축(短縮)시키는 이점(利點)이 있다 호르몬에 방사성(放射性) 동위원소(同位元素)를 부착(附着)시키는 데에는 $^{131}I$ 및 $^{125}I$가 주(主)로 쓰이나, 각기 장단점(長短點)이 있으며, 높은 방사성(放射性) 활성도(活性度)를 얻기 위해 chloramine-T 및 Na-metabisulfite를 사용하는 부착방법(附着方法)이 주(主)로 사용된다. 미량의 호르몬을 실제 측정(測定)하기 때문에 표지(標識)호르몬의 비방사능도(比放射能度)가 높을 필요성(必要性)이 있으며, 이 경우에는 방사능(放射能)에 의(依)한 흐르몬의 변성(變性)이 큰 문제점으로 등장하게 된다.

• The Korean Journal of Nuclear Medicine
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• v.22 no.1
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• pp.83-92
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• 1988

The cocktails of two $^{131}I$ labeled Monoclonal antibody (MCAB) (Anti CA 19-9 F$(ab')_2$ + Anti CEA $F(ab')_2$ fragment), which react specially, with human gastrointestinal cancers, were administered to 10 patients with colorectal (7), stomach(2) and pancreas(1) cancer for scintigraphic detection. All patients were known or postoperatively recurrent cases, and serum tumor markers, CA 19-9 and CEA, were measured with immunoradiometric assay, just before immunoscintigraphy (ISG). The tumor marker's level in serum is not correlated with positive tumor uptake in ISG. The sensitivity and specificity of ISG in detection of 21 tumor sites, based on surgery, CT, ultrasonography and pathology, were 90.5% and 100% One case of colon cancer showed gall bladder metastasis, which was neglected on CT study. Tumor/non tumor uptake ratio of radiolabelled antibody were progressively increased from day 3 to day 7 during study. We summerized as follows 1) The use of cocktails of CEA and CA 19-9 MCAB $F(at')_2$ increased sensitivity and specificity in ISG. 2) Delayed imaging (later than 5 days) increases sensitivitv and specificity due to exclusion of nonspecific iodine accumulation in stomach and lung. 3) Second tracer technique is essential for anatomical landmark by use of a double isotope scan, but subtraction technique, a possible source of artifacts, is no longer necessory when delayed imaging is performed. 4) It may be possible to use two MCAB cocktails of CA 19-9 and CEA in Radioimmunodetection of stomach and pancreas cancer. In conclusion, ISG using MCAB cocktails, $F(ab')_2$ fragment of anti CA 19-9 and Anti CEA, provide additional opportunity for tumor localization and detection of colorectal and other G-I cancer, such as stomach and pancreas.