• Journal of the Korean Wood Science and Technology
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• 제10권3호
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• pp.13-44
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• 1982

7.1 옛날부터 재목(材木)을 오래 불에 담그어 쓰면 덜트로 덜 휜다고 하였는데 말로서 전(傳)하여 왔을 뿐 그 연구결과(硏究結果)나 또는 그 원인(原因)에 대한 것은 분명(分明)치 못하였다. 한편 재목(材木)의 추출성분(抽出成分)이 그 재목(材木)의 물리적(物理的) 성질(性質)에 영향(影響)할 것이라는 추측(推測)은 많었으나 실지로 그 영향(影響)에 대한 연구(硏究)를 하여 그 결과(結果)와 그 원인(原因)을 밝힌 것도 극(極)히 적었다. 이 연구(硏究)는 이와같은 입장(立場)에 놓여있는 그 간미지(間未知)한 점(点)을 밝히기 위(爲)하여 다시말하면 재목(材木)을 물에 담그어 그 수용성(水溶性) 추출물(抽出物)을 추출(抽出)하므로써 일어나는 물리적(物理的) 성질(性質)에 대한 결과(結果)를 조사(調査)하고 이 결과(結果)를 통(通)하여 얻는 진리(眞理)를 응용(應用)하여 재목(材木)의 일대 흠점(欠点)인 수축(收縮), 팽창(膨脹) 이에따라 일어나는 트는것, 휘는것, 틀어지는 것 등(等)을 막아 재목이용(材木利用)의 합리화(合理化)를 기(期)할 목적(目的)으로써 시작(始作)된 것이며 Yale 재과대학(材科大學) 목재이용학(木材利用學) 연구실(硏究室)에서 담당교수 F.F.Wangaard 박사(博士) 지도하(指導下)에 재료(材料)는 동(同) 연구실(硏究室)에 준비(準備)되어 있는 북미(北美)산 스트로 - 부 소나무 참나무 그리고 남방열대(南方熱帶)산 하이메나에아의 삼(三) 종류(種類)에 대하여 연구(硏究)되었다. 7.2 연구(硏究)의 대상이 된 물리적(物理的) 성질(性質)은 목재(木材)의 실용적 사용(使用)에 있어서 가장 관계가 깊은 다시 말하면 트고 휘고 틀어지는등(等)의 관계가 깊은 평형함수량(平衡含水量), 수축(收縮), 팽창(膨脹) 그리고 강도(强度)의 지표(紙票)가 되는 비중(比重)등이 있다. 7.3 시험(試驗)은 위에 말한 세 가지 종류(種類)를 가지고 추출처리(抽出處理)를 하여 추출(抽出)한것과 반대로 추출성(抽出性) 물질(物質)은 침투(浸透)시킨것에 대하여 비교(比較)될 무처리(無處理)한 세 다른 공시재(供試在)를 준비(準備)하여 실시되었다. 다음 시험결과(試驗結果)는 7.4 수용성(水溶性) 추출물(抽出物)이 추출량(抽出量)과 그 추출액중(抽出液中)의 성분(成分)그룹은 Table 36에 표시(表示)된것과 같으며 나무 종류(種類)에 따라 추출량(抽出量)에 그리고 각(各) 성분(成分)그룹의 종류(種類)와 그 양(量)에 차이(差異)를 볼수 있었다. 7.5 평형함수량(平衡含水量)에 있어서는 a) 추출처리(抽出處理)를 하여 그 추출성분(抽出成分)이 빠져버린 공시재(供試材)와 그와 반대의 공시재(供試材) 사이에는 확실한 차이(差異)가 있어 추출성분(抽出成分)을 재내(材內)에 포함(包含)하고 있으므로써 같은 관계흡도에서 80%방습시(放濕時)는 이와 반대 평형함수량(平衡含水量)은 많아졌다. b) 설탕액(雪糖液)에 담그어 침투처리(浸透處理)를 하여 당분(糖分)이 재내(材內)에 침입(侵入)된 공시재(供試材)는 대체(大體) 추출처리(抽出處理)를 하지 않은 공시재(供試材)와 거의 같은 경향(傾向)의 결과(結果)를 나타내고 있다. c) 나무의 종류(種類)에 따른 차이(差異)는 일정한 경향(傾向)을 볼 수 없으나 스트로-부 소나무의 심재부(心材部)와 변재부를 비교(比較)하면 심재부(心材部)는 그 평형함수량(平衡含水量)이 적다. 이것은 원래(元來)의 함수량(含水量)에 있어서 심재부(心材部)가 적은데 이와같은 차이(差異)는 식물생리학적(植物生理學的) 또는 그 해부학적(解剖學的) 구조(構造)의 차이(差異)에서 생기는 것이다. 7.6 수축(收縮)에 있어서는 a) 추출처리(抽出處理)를 한 공시재(供試材)의 수축량(收縮量)은 그와 반대로 추출처리(抽出處理)를 않어 추출성분(抽出成分)이 그대로 남어있는 공시재(供試材)에 비교(比較)하여 그 수축량(收縮量)이 모두 크다. b) 설탕액(雪糖液)에 담그어 침투처리(浸透處理)를 한 공시재(供試材)는 그 수축량(收縮量)은 다른것에 비교(比較)하여 제일 적고 모두 침투처리(浸透處理)를 하지않은 공시재(供試材)와 거의 같은 결과(結果)를 보이고 있는데 이것은 재목(材木)을 사용전(使用前)에 특수(特殊)한 침투처리(浸透處理)를 하여 쓰면 재목(材木)의 일대 흠점(欠点)인 수축(收縮)을 막을수 있다는 것을 실증하는 것이다. c) 나무의 종류별(種類別)로보면 스트로-부 소나무의 심재부(心材部)는 그 변재부보다 수축량(收縮量)이 적으며 참나무의 수축량(收縮量)은 제일 크로 스토로-부 소나무에 비교(比較)하여 약(約)2배(倍) Hymenaea는 참나무 보다 적고 스트로 - 부 소나무 보다는 컸다. d) 각(各) 수종(樹種)을 통(通)하여 방향성(方向性)에 따른 수축량(收縮量)을 보면 촉단면방향(觸斷面方向)의 수축량(收縮量)은 경단방향(徑斷方向)의 수축량(收縮量)보다 큰 것은 다른 모든 나무에서 보느 결과(結果)와 같다. e) 추출량(抽出量)과의 관계를 보면 추출량(抽出量)이 많은 것일수록 추출처리(抽出處理)를 않은 것과의 수축량(收縮量)의 차이(差異)는 컸다. 7.7 팽창(膨脹)에 있어서는 a) 추출처리(抽出處理)로 그 성분(成分)을 추출(抽出)하여 낸 공시재(供試材)의 팽창량(膨脹量)은 그와 반대의 것에 비교(比較)하여 모두 팽창량(膨脹量)이 컸다. b) 재목(材木)의 방향성(方向性)에 따라보면 모두 촉단(觸斷) 방향(方向)의 팽창량(膨脹量)은 경단방향(徑斷方向)의 팽창량(膨脹量)에 비(比)하여 크다. c) 수축(收縮)에서 본것과 같이 팽창(膨脹)에 있어서도 나무의 종류(種類)에 따라 그 팽창량(膨脹量)에 차이(差異)를 볼수 있으며 그 팽창량(膨脹量)은 참나무 하이메나에아 스트로-부 소나무의 변재 그리고 동심재(同心材)의 순서(順序)도 적어졌으며, 수축량(收縮量)이 큰 것은 팽창량(膨脹量)에 있어서도 크다는 것을 실증하였다. 7.8 비중(比重)에 있어서는 a) 추출처리(抽出處理)를 한 공시재(供試材)의 비중(比重)이 추출처리(抽出處理)를 않은 공시재(供試材)의 비중(比重)에 비교(比較)하여 컸다. 이것은 비중(比重)을 결정(決定)할 때 사용(使用)된 용적(容積)에 기인(起因)하였으며 사실은 이와 반대의 결과(結果)가 나타나야 할 것이다. b) 나무의 종류별(種類別)로 보면 스트로-부 소나무의 심재(心材)는 변재보다는 그 비중(比重)이 크며 두 참나무의 비중(比重)은 소나무의 그것보다 배(倍)나 크고 하이메나에아는 그 비중(比重)이 제일 컷다. (9) 이상(以上) ; 모-든 시험결과(試驗結果)를 종합(綜合)하여 생각할 때 막연(漠然)히 재목(材木)을 물에 오래 담그어 쓴다는 생각은 오히려 잘못하면 목재(木材)의 성질(性質)을 더욱 악화(惡化)시킬 우려(憂慮)가 있으며 물에 담그어 쓰되 설탕질등(雪糖質等)으로 재목내부(材木內部)에 침투(浸透)할 수 있는 성질(性質)의 성분(成分)이 용해(溶解)되어 있는 액중(液中)에 담그어 쓰는 것은 재목(材木)의 일대 흠점(欠点)인 수축(收縮)과 팽창(膨脹) 그리고 이에 따라 일어나는 트고 휘는 일이며 틀어지는 등(等)의 흠점(欠点)을 막을 수 있다는 것을 실증하게 되었다. 만고(萬苦) 물속에 오래 담그어 쓰는 것이 다시 말하면 수용성(水溶性) 추출물(抽出物)을 빼내어 쓰는 것이 그 결과(結果)에 있어 확실히 양호(良好)하였다는 사실이 있었다면 그것은 수용성성분(水溶性成分)을 제출(提出)함으로써 균일(均一)한 수축(收縮)과 팽창(膨脹)이 일어나는데 기인(起因)하였을 것이다.

• 대한방사선치료학회지
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• 제26권2호
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• pp.257-264
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• 2014

목 적 : 고에너지 광자선을 이용한 방사선치료 시 발생되는 광중성자는 치료대상인 종양 주위의 인접한 정상조직에서 2차적인 암의 발생에 기인 될 수 있다고 알려져 있다. 본 연구에서는 방사선치료계획 시에 고려할 수 있는 변수 중 치료방법, 선속평탄여과판, 선량률, 갠트리 각도들을 변환시켰을 때 발생된 광중성자의 선량 변화를 비교 분석하였다. 대상 및 방법 : 실험에는 TrueBeam $ST{\time}TM$(Ver.1.5, Varian, USA)치료기를 사용하였다. 광중성자 측정 장비는 조직등가비례계수기(Tissue Equivalent Proportional Counter : TEPC)인 KTEPC를 이용하였으며, 치료대의 세로 방향으로 조사야 중앙 하단 6cm 지점에서 측정을 실시하였다. 치료방법, 선속평탄여과판의 사용유무, 선량율에 따른 광중성자 선량의 차이를 평가하기 위하여 모든 환자에 대하여 전산화치료계획시스템(Eclipse Ver 10.0, Varian, USA)으로 방사선치료계획을 각각 수립하였다. 치료방법으로는 세기변조방사선치료와 용적변조회전방사선치료로 구분하였으며, 선량율은 400MU/min, 1,200MU/min 및 2,400MU/min에 따른 차이를 평가하였다. 또한 방사선의 입사방향에 따른 광중성자 선량을 측정하였다. 결 과 : 치료방법의 차이에 따라 세기변조방사선치료와 용적변조회전방사선치료로 조사하였을 때 산란 광중성자 평균선량은 각각 $449.7{\mu}Sv$, $2940.7{\mu}Sv$로 측정되었다. 선속평탄여과판의 사용 유무에 따라 Flattening Filter(FF)모드와 Flattening Filter Free(FFF)모드에서의 산란 광중성자 평균선량은 $2940.7{\mu}Sv$, $232.0{\mu}Sv$로 측정되었다. 400, 1200, 2400 MU/min으로 선량률을 변환시켜 조사하였을 때 CASE I은 $3242.5{\mu}Sv$, $3189.4{\mu}Sv$, $3191.2{\mu}Sv$로, CASE II는 $3493.2{\mu}Sv$, $3482.6{\mu}Sv$, $3477.2{\mu}Sv$로, 그리고 CASE III에서 $4592.2{\mu}Sv$, $4580.0{\mu}Sv$, $4542.3{\mu}Sv$로 측정 되었다. $0^{\circ}$부터 $315^{\circ}$까지 $45^{\circ}$간격으로 갠트리 각도를 변환시켰을 때 산란 광중성자 선량은 10MV 광자선에 대하여 최소 $3.2{\mu}Sv$, 최대 $14.7{\mu}Sv$이었으며, 갠트리 각도가 $180^{\circ}$일 때 가장 높게 나타났다. 15MV 광자선의 경우 최소 $369.6{\mu}Sv$ 최대 $448.0{\mu}Sv$이었으며, 역시 갠트리 각도가 $180^{\circ}$일 때 가장 높게 측정되었다. 결 론 : 치료방법의 차이에 따른 실험은 용적변조회전방사선치료가 세기변조방사선치료 보다 산란된 광중성자 선량이 측정점에서 평균 6.5배 높게 측정되었다. 선속평탄여과판의 사용 차이에 따른 실험에서 선속평탄여과판을 사용하였을 때 12.7배 높게 측정되었다. 선량률을 변환에 따른 차이는 큰 차이를 보이지 않았다. 갠트리 각도에 따른 산란 광중성자 선량 측정에서는 광자선이 치료대를 지나는 각도인 $135^{\circ}$, $180^{\circ}$, $225^{\circ}$에서 산란 광중성자 선량이 증가하는 것을 확인할 수 있었다. TrueBeam $ST{\time}TM$을 이용한 FFF 모드와 세기변조방사선치료를 한 경우 산란 광중성자가 적게 발생한다는 것을 확인할 수 있었다. 지속적으로 더 많은 변수에 대한 실험을 계획하고 광중성자 측정에 대한 평가를 통하여, 보다 환자들에게 안전한 방사선치료에 기여할 수 있을 것으로 사료된다.

• Journal of Preventive Medicine and Public Health
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• 제20권1호
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• pp.165-203
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• 1987

This project was a service-cum-research effort with a quasi-experimental study design to examine the health benefits of an integrated Family Planning (FP)/Maternal & Child health (MCH) Service approach that provides crucial factors missing in the present on-going programs. The specific objectives were: 1) To test the effectiveness of trained nurse/midwives (MW) assigned as change agents in the Health Sub-Center (HSC) to bring about the changes in the eight FP/MCH indicators, namely; (i)FP/MCH contacts between field workers and their clients (ii) the use of effective FP methods, (iii) the inter-birth interval and/or open interval, (iv) prenatal care by medically qualified personnel, (v) medically supervised deliveries, (vi) the rate of induced abortion, (vii) maternal and infant morbidity, and (viii) preinatal & infant mortality. 2) To measure the integrative linkage (contacts) between MW & HSC workers and between HSC and clients. 3) To examine the organizational or administrative factors influencing integrative linkage between health workers. Study design; The above objectives called for quasi-experimental design setting up a study and control area with and without a midwife. An active intervention program (FP/MCH minimum 'package' program) was conducted for a 2 year period from June 1982-July 1984 in Seosan County and 'before and after' surveys were conducted to measure the change. Service input; This study was undertaken by the Soonchunhyang University in collaboration with WHO. After a baseline survery in 1981, trained nurses/midwives were introduced into two health sub-centers in a rural setting (Seosan county) for a 2 year period from 1982 to 1984. A major service input was the establishment of midwifery services in the existing health delivery system with emphasis on nurse/midwife's role as the link between health workers (nurse aids) and village health workers, and the referral of risk patients to the private physician (OBGY specialist). An evaluation survey was made in August 1984 to assess the effectiveness of this alternative integrated approach in the study areas in comparison with the control area which had normal government services. Method of evaluation; a. In this study, the primary objective was first to examine to what extent the FP/MCH package program brought about changes in the pre-determined eight indicators (outcome and impact measures) and the following relationship was first analyzed; b. Nevertheless, this project did not automatically accept the assumption that if two or more activities were integrated, the results would automatically be better than a non-integrated or categorical program. There is a need to assess the 'integration process' itself within the package program. The process of integration was measured in terms of interactive linkages, or the quantity & quality of contacts between workers & clients and among workers. Intergrative linkages were hypothesized to be influenced by organizational factors at the HSC clinic level including HSC goals, sltrurture, authority, leadership style, resources, and personal characteristics of HSC staff. The extent or degree of integration, as measured by the intensity of integrative linkages, was in turn presumed to influence programme performance. Thus as indicated diagrammatically below, organizational factors constituted the independent variables, integration as the intervening variable and programme performance with respect to family planning and health services as the dependent variable: Concerning organizational factors, however, due to the limited number of HSCs (2 in the study area and 3 in the control area), they were studied by participatory observation of an anthropologist who was independent of the project. In this observation, we examined whether the assumed integration process actually occurred or not. If not, what were the constraints in producing an effective integration process. Summary of Findings; A) Program effects and impact 1. Effects on FP use: During this 2 year action period, FP acceptance increased from 58% in 1981 to 78% in 1984 in both the study and control areas. This increase in both areas was mainly due to the new family planning campaign driven by the Government for the same study period. Therefore, there was no increment of FP acceptance rate due to additional input of MW to the on-going FP program. But in the study area, quality aspects of FP were somewhat improved, having a better continuation rate of IUDs & pills and more use of effective Contraceptive methods in comparison with the control area. 2. Effects of use of MCH services: Between the study and control areas, however, there was a significant difference in maternal and child health care. For example, the coverage of prenatal care was increased from 53% for 1981 birth cohort to 75% for 1984 birth cohort in the study area. In the control area, the same increased from 41% (1981) to 65% (1984). It is noteworthy that almost two thirds of the recent birth cohort received prenatal care even in the control area, indicating that there is a growing demand of MCH care as the size of family norm becomes smaller 3. There has been a substantive increase in delivery care by medical professions in the study area, with an annual increase rate of 10% due to midwives input in the study areas. The project had about two times greater effect on postnatal care (68% vs. 33%) at delivery care(45.2% vs. 26.1%). 4. The study area had better reproductive efficiency (wanted pregancies with FP practice & healthy live births survived by one year old) than the control area, especially among women under 30 (14.1% vs. 9.6%). The proportion of women who preferred the 1st trimester for their first prenatal care rose significantly in the study area as compared to the control area (24% vs 13%). B) Effects on Interactive Linkage 1. This project made a contribution in making several useful steps in the direction of service integration, namely; i) The health workers have become familiar with procedures on how to work together with each other (especially with a midwife) in carrying out their work in FP/MCH and, ii) The health workers have gotten a feeling of the usefulness of family health records (statistical integration) in identifying targets in their own work and their usefulness in caring for family health. 2. On the other hand, because of a lack of required organizational factors, complete linkage was not obtained as the project intended. i) In regards to the government health worker's activities in terms of home visiting there was not much difference between the study & control areas though the MW did more home visiting than Government health workers. ii) In assessing the service performance of MW & health workers, the midwives balanced their workload between 40% FP, 40% MCH & 20% other activities (mainly immunization). However, $85{\sim}90%$ of the services provided by the health workers were other than FP/MCH, mainly for immunizations such as the encephalitis campaign. In the control area, a similar pattern was observed. Over 75% of their service was other than FP/MCH. Therefore, the pattern shows the health workers are a long way from becoming multipurpose workers even though the government is pushing in this direction. 3. Villagers were much more likely to visit the health sub-center clinic in the study area than in the control area (58% vs.31%) and for more combined care (45% vs.23%). C) Organization factors (admistrative integrative issues) 1. When MW (new workers with higher qualification) were introduced to HSC, it was noted that there were conflicts between the existing HSC workers (Nurse aids with less qualification than MW) and the MW for the beginning period of the project. The cause of the conflict was studied by an anthropologist and it was pointed out that these functional integration problems stemmed from the structural inadequacies of the health subcenter organization as indicated below; i) There is still no general consensus about the objectives and goals of the project between the project staff and the existing health workers. ii) There is no formal linkage between the responsibility of each member's job in the health sub-center. iii) There is still little chance for midwives to play a catalytic role or to establish communicative networks between workers in order to link various knowledge and skills to provide better FP/MCH services in the health sub-center. 2. Based on the above findings the project recommended to the County Chief (who has power to control the administrative staff and the technical staff in his county) the following ; i) In order to solve the conflicts between the individual roles and functions in performing health care activities, there must be goals agreed upon by both. ii) The health sub·center must function as an autonomous organization to undertake the integration health project. In order to do that, it is necessary to support administrative considerations, and to establish a communication system for supervision and to control of the health sub-centers. iii) The administrative organization, tentatively, must be organized to bind the health worker's midwive's and director's jobs by an organic relationship in order to achieve the integrative system under the leadership of health sub-center director. After submitting this observation report, there has been better understanding from frequent meetings & communication between HW/MW in FP/MCH work as the program developed. Lessons learned from the Seosan Project (on issues of FP/MCH integration in Korea); 1) A majority or about 80% of the couples are now practicing FP. As indicated by the study, there is a growing demand from clients for the health system to provide more MCH services than FP in order to maintain the achieved small size of family through FP practice. It is fortunate to see that the government is now formulating a MCH policy for the year 2,000 and revising MCH laws and regulations to emphasize more MCH care for achieving a small size family through family planning practice. 2) Goal consensus in FP/MCH shouBd be made among the health workers It administrators, especially to emphasize the need of care of 'wanted' child. But there is a long way to go to realize the 'real' integration of FP into MCH in Korea, unless there is a structural integration FP/MCH because a categorical FP is still first priority to reduce the rate of population growth for economic reasons but not yet for health/welfare reasons in practice. 3) There should be more financial allocation: (i) a midwife should be made available to help to promote the MCH program and coordinate services, (in) there should be a health sub·center director who can provide leadership training for managing the integrated program. There is a need for 'organizational support', if the decision of integration is made to obtain benefit from both FP & MCH. In other words, costs should be paid equally to both FP/MCH. The integration slogan itself, without the commitment of paying such costs, is powerless to advocate it. 4) Need of management training for middle level health personnel is more acute as the Government has already constructed 90 MCH centers attached to the County Health Center but without adequate manpower, facilities, and guidelines for integrating the work of both FP and MCH. 5) The local government still considers these MCH centers only as delivery centers to take care only of those visiting maternity cases. The MCH center should be a center for the managment of all pregnancies occurring in the community and the promotion of FP with a systematic and effective linkage of resources available in the county such as i.e. Village Health Worker, Community Health Practitioner, Health Sub-center Physicians & Health workers, Doctors and Midwives in MCH center, OBGY Specialists in clinics & hospitals as practiced by the Seosan project at primary health care level.