• Title/Summary/Keyword: 국립암센터

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The development of the 2020 Dietary Reference Intakes for Korean population: Lessons and challenges (2020 한국인 영양소 섭취기준 제·개정: 교훈과 도전)

  • Kwon, Oran;Kim, Hyesook;Kim, Jeongseon;Hwang, Ji-Yun;Lee, Jounghee;Yoon, Mi Ock
    • Journal of Nutrition and Health
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    • v.54 no.5
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    • pp.425-434
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    • 2021
  • The discovery of the relationship between nutrients and deficiency diseases during the 100 years from the mid-1800s to the mid-1900s was a breakthrough that led to advances in the study of nutrition. The Recommended Dietary Allowances (RDA) were created as a quantitative standard for avoiding diseases caused by nutrient deficiency. In addition, a reductionism paradigm has become generally accepted among nutrition scholars in health and disease, which focused on the properties of individual nutrients, content in foods, cellular levels, and mechanisms of action. The reductionist paradigm worked very well for the prevention and treatment of malnutrition diseases. However, as the incidence of nutrient deficiencies decreased and that of chronic diseases increased, the nutrition goals have been changed to secure safe and adequate nutrient intake and to reduce chronic disease risks. Accordingly, Dietary Reference Intakes (DRIs), a set of nutrient-based reference values, were designed to replace the RDA. The revised Korean DRIs were published for 40 nutrients in 2020. However, there is still room for improvement in the reference intake levels targeted at reducing the risk of chronic disease. The reductionist approach can no longer be practical because chronic diseases are related to the interactions between multi-components in the foods and multi-targets in the body. Therefore, a second innovative leap is needed following the nutrition development breakthrough made over 100 years ago. To this end, the nutrition paradigm must evolve from reductionism to a holism approach. Cutting-edge scientific technologies, such as metabolomics, transcriptomics, microbiomics, and bioinformatics, should also be acceptable in nutrition science based on the knowledge gained from basic nutrition studies.

Population Ecology of Acheilognathus chankaensis (Pisces: Acheilognathinae) in the Churyeongcheon (Stream), Korea (추령천에 서식하는 가시납지리, Acheilognathus chankaensis (Pisces: Acheilognathinae)의 개체군 생태)

  • Kim, Hyeongsu;Kim, Suhwan
    • Korean Journal of Environment and Ecology
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    • v.35 no.2
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    • pp.115-125
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    • 2021
  • This study surveyed the population ecology of Acheilognathus chankaensis (Pisces: Acheilognathinae) in the vicinity of the Churyeongcheon (Stream) and Seomjingang (River) in Jeonbuk, Korea, from February 2006 to May 2007. The survey found the habits mainly in the slow-flowing waters having sand, mud, and gravel bottoms. Age groups estimated by the standard length-frequency distribution of the population indicated that the one-year-olds were 30-46 mm long, the two-year-olds were 47-58 mm long, the three-year-olds were 59-68 mm long, and the four-year-olds were longer than 69 mm. The gonadosomatic index (GSI) and the ratio of ovipositor length/standard length were the highest in March (♀: 12.9%, ♂: 5.0%) and in April (46.3%), respectively. The ratio of mature egg diameters that were 1.6 mm was highest in May (13.2%). The comprehensive analysis of spawning characteristics showed that the spawning season was from March to June with water temperatures in 11.5-22.5℃, and the sex ratio of female:male was 1:1.13. The fecundity in the ovaries and the number of mature eggs were 318±174.5 (50~583) and 220±139.2 (50~406), respectively. The size of the mature eggs was 2.04±0.110 mm on the long axis and 1.55±0.100 mm on the short axis for the study period. Gut contents of A. chankaensis were mainly phytoplankton such as the genera Fragilaria, Synedra, Navicular, Cymbella (Bacillariophyceae), and Cosmarium (Chlorophyceae).

Exposure of Carcinogens in Electronics Industries and Strategy for Control of Carcinogens: Using Work Environment Measurement Database (2013-2017) in Korea (한국 전자산업에서 작업환경측정을 통해 파악된 발암물질들 노출 특성과 발암물질관리 방안: 작업환경측정자료(2013-2017)를 중심으로)

  • Mia, Son;Jaewon, Yun;Yu Seoung, Hwang;Mijin, Park;MinSeo, Choi;Mi-Young, Lee;Domyung, Paek
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.32 no.4
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    • pp.302-324
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    • 2022
  • Objectives: The objective of this study is to investigate exposure to occupational carcinogens in the nationwide electronics industries and to establish a strategy for control of occupational carcinogens in South Korea. Methods: We evaluated occupational carcinogens as defined by International Agency for Research on Cancer (IARC) using a nationwide work environment measurement database on the electronics industry in South Korea measured between 2013 and 2017 in accordance with the Occupational Safety and Health Act. Results: The number of occupational carcinogens found in the electronics industry in South Korea were: 20 for IARC Group 1, 14 for Group 2A, and 30 for Group 2B. The occupational carcinogens (Group 1) most frequently exposed were strong-inorganic-acid mists containing sulfuric acid (sulfuric acid), welding fumes, mineral oils (untreated or mildly treated), nickel compounds, silica dust, crystalline substances in the form of quartz or cristobalite, formaldehyde, arsenic and inorganic arsenic compounds, chromium (VI) compounds, trichloroethylene, cadmium and cadmium compounds, vinyl chloride, ethylene oxide, wood dust, beryllium and beryllium compounds, 1,3 butadiene, benzene, and others. Among them, the carcinogens (Group 1) exceeding the acceptable standard were trichloroethylene, formaldehyde, and ethylene oxide. The working environment measurement system as regulated by Occupational Safety and Health Act is not properly assessed and managed for occupational carcinogens in South Korea. A component analysis for all materials used should be set up to practically reduce occupational carcinogens. A ban on the use of occupational carcinogens and the development of alternative materials are needed. The occupational carcinogens below the acceptable standards should be carefully examined and a new standard for exposure needs to be established. Conclusions: The Occupational Safety and Health Act should be improved to identify and monitor occupational carcinogens at work sites. A strategy for occupational safety and health systems should be provided to give direction to workers' needs and right to know.

Resarch on Manufacturing Technology of Red-Burnished Pottery Excavated from Samdeok-ri, Goseong, Korea (고성 삼덕리유적 출토 적색마연토기의 제작 특성 연구)

  • Han, Leehyeon;Kim, Sukyoung;Jin, Hongju;Jang, Sungyoon
    • Korean Journal of Heritage: History & Science
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    • v.53 no.4
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    • pp.170-187
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    • 2020
  • Dolmens bearing the burial layout and stone coffin tombs of the late Bronze Age were excavated from Samdeok-ri, Goseong, Gyeonsangnsamdo, and grave items such as red-burnished pottery, arrowheads, and stone swords were also discovered. In the case of the red-burnished pottery that was found, it retains a pigment layer with a thickness of about 50 to 160㎛, but with most of the other items, exfoliation and peeling-off of pigment layers can be observed on the surface. The raw materials of the red-burnished pottery contained moderately sorted minerals such as quartz, feldspar, and hornblende, and partly opaque iron oxide minerals were also identified. In particular, the raw materials of the red-burnished pottery from stone coffin tomb #6 were different from those of the other pottery, containing large amounts of hornblende and feldspar. The pottery's red pigment was identified as hematite and showed similar mineral content of raw materials such as fine grained quartz, feldspar, and hornblende. The firing temperature is estimated to have been approximately 900℃, based on their mineral phase. The possibility exists that the raw materials had been collected from the Samdeok-ri area, because diorite and granite diorite with dominant feldspar and hornblende have been identified within 3km of that area. During the pottery manufacturing process, it is estimated that the pigment was painted on the entire surface of the red-burnished pottery after it had been molded and then finished using the abrasion technique. In other words, the red-burnished pottery was made by the process of vessel forming - semi drying - coloring - polishing. The surface and cross-section of the pottery appears differently depending on the concentration of the pigment and the coloring method used after vessels were formed. Most of the excavated pottery features a distinct boundary between pigment and body fabric. However, in the case of pottery in which fine-grained pigments penetrate the body fabric so that layers cannot be distinguished, there is the possibility that the fine-grained pigment layer was applied at a low concentration or immediately after vessel forming. Many cracks can be seen on the surface pigments in thickly painted pottery items, and in many cases, only a small portion of the pigment layers remain due to surface exfoliation and abrasion in the burial environment. It is reported that pottery items may be more easily damaged by abrasion if coated with pigment and polished, so it is believed that the red-burnished pottery of the Samdeok-ri site suffered from weathering in the burial environment. This damage was more extensive in the potsherds that were scattered outside the tomb.

Contaminant Mechanism and Management of Tracksite of Pterosaurs, Birds, and Dinosaurs in Chungmugong-dong, Jinju, Korea (천연기념물 진주 충무공동 익룡·새·공룡발자국 화석산지의 오염물 형성 메커니즘과 관리방안)

  • Myoungju Choie;Sangho Won;Tea Jong Lee;Seong-Joo Lee;Dal-Yong Kong;Myeong Seong Lee
    • Economic and Environmental Geology
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    • v.56 no.6
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    • pp.715-728
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    • 2023
  • Tracksite of pterosaurs, birds, and dinosaurs in Chungmugong-dong in Jinju was designated as a natural monument in 2011 and is known as the world's largest in terms of the number and density of pterosaur footprints. This site has been managed by installing protection buildings to conserve in 2018. About 17% of the footprints of pterosaur, theropod, and ornithopod in this site under management in the 2nd protection building are of great academic value, but observation of footprints has difficulties due to continuous physical and chemical damage. In particular, the accumulation of milk-white contaminants is formed by the gypsum and air pollutant complex. Gypsum remains evaporated with a plate or columnar shape in the process of water circulation around the 2nd protection building, and the dust is from through the inflow of the gallery windows. The aqueous solution of gypsum, consisting of calcium from the lower bed and sulfur from grass growth, is catchmented into the groundwater from the area behind the protection building. Pollen and a few minerals other constituents of contaminants, go through the gallery window, which makes it difficult to expel dust. To conserve the fossil-bearing beds from two contaminants of different origins, controlling the water and atmospheric circulation of the 2nd protection building and removing the contaminants continuously is necessary. When cleaning contaminants, the steam cleaning method is sufficiently effective for powder-shaped milk-white contaminants. The fossil-bearing bed consists of dark gray shale with high laser absorption power; the laser cleaning method accompanies physical loss to fossils and sedimentary structures; therefore, avoiding it as much as possible is desirable.

Geometric Calibration of Cone-beam CT System for Image Guided Proton Therapy (영상유도 양성자치료를 위한 콘빔 CT 재구성 알고리즘: 기하학적 보정방법에 관한 연구)

  • Kim, Jin-Sung;Cho, Min-Kook;Cho, Young-Bin;Youn, Han-Bean;Kim, Ho-Kyung;Yoon, Myoung-Geun;Shin, Dong-Ho;Lee, Se-Byeung;Lee, Re-Na;Park, Sung-Yong;Cho, Kwan-Ho
    • Progress in Medical Physics
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    • v.19 no.4
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    • pp.209-218
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    • 2008
  • According to improved radiation therapy technology such as IMRT and proton therapy, the accuracy of patient alignment system is more emphasized and IGRT is dominated research field in radiation oncology. We proposed to study the feasibility of cone-beam CT system using simple x-ray imaging systems for image guided proton therapy at National Cancer Center. 180 projection views ($2,304{\times}3,200$, 14 bit with 127 ${\mu}m$ pixel pitch) for the geometrical calibration phantom and humanoid phantoms (skull, abdomen) were acquired with $2^{\circ}$ step angle using x-ray imaging system of proton therapy gantry room ($360^{\circ}$ for 1 rotation). The geometrical calibration was performed for misalignments between the x-ray source and the flat-panel detector, such as distances and slanted angle using available algorithm. With the geometrically calibrated projection view, Feldkamp cone-beam algorithm using Ram-Lak filter was implemented for CBCT reconstruction images for skull and abdomen phantom. The distance from x-ray source to the gantry isocenter, the distance from the flat panel to the isocenter were calculated as 1,517.5 mm, 591.12 mm and the rotated angle of flat panel detector around x-ray beam axis was considered as $0.25^{\circ}$. It was observed that the blurring artifacts, originated from the rotation of the detector, in the reconstructed toomographs were significantly reduced after the geometrical calibration. The demonstrated CBCT images for the skull and abdomen phantoms are very promising. We performed the geometrical calibration of the large gantry rotation system with simple x-ray imaging devices for CBCT reconstruction. The CBCT system for proton therapy will be used as a main patient alignment system for image guided proton therapy.

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A Study on the Management of Non-Communicable Disease in Fiji (피지에서의 만성병 관리)

  • Kim, Daeseon;Romakin, Pablo;Rafai, Eric;Lee, Chulwoo
    • Journal of Appropriate Technology
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    • v.6 no.2
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    • pp.163-173
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    • 2020
  • For the successful execution of an ODA project, it is necessary to know what areas are weak and necessary to the country of demand exactly. The health sector is also a top priority in most of developing countries. This study was carried out to introduce non-communicable disease (NCD) in Fiji for ODA projects planning. The major causes of death in Fiji in 2016 are diabetes, ischemic heart disease, cerebrovascular disease, chronic kidney disease, lower respiratory infect, asthma in ranking. The major causes of death in Korea in same year are cancer, ischemic heart diseases, cerebrovascular diseases, pneumonia, suicide, diabetes in the order of ranking. The chronic disease as non-communicable disease (NCD) has been increasing continuously due to changes in lifestyle and consumption patterns and population aging in prevalence rate. This global trend is also apparent in Fiji and Korea, reflected in increasing mortality and personal costs for the treatment and management of NCD. The need for a sustained comprehensive treatment tailored for individual patients has suggested from many studies and the development of a systematic program to manage NCD patients to provide such care have been recommended. The Fiji government developed Non-communicable Diseases Strategic Plan 2015-2019 and has tried to reduce the prevalence rate of non-communicable diseases by factors. The WHO global action plan guiding national-level NCD policies requires an NCD prevention and control model at the community level, presenting strategic goals and detailed options for the introduction and application of the approach to communities. It is necessary to develop an NCD prevention and control model, consisting of a strategy of community intervention, education for students and NCD patients, and the legal enactment of NCD that adequately meets the needs of community members.

A Study of Radiation Exposure in Proton Therapy Facility (양성자치료기 가속기 시설에서의 작업종사자의 방사선 피폭 연구)

  • Lee, Sang-Hoon;Shin, Dong-Ho;Yoon, Myong-Geun;Shin, Jung-Wook;Rah, Jeong-Eun;Kwak, Jung-Won;Park, Sung-Yong;Shin, Kyung-Hwan;Lee, Doo-Hyun;Ahn, Sung-Hwan;Kim, Dae-Yong;Cho, Kwan-Ho;Lee, Se-Byeong
    • Progress in Medical Physics
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    • v.20 no.1
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    • pp.37-42
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    • 2009
  • Proton therapy facility, which is recently installed at National Cancer Center in Korea, generally produces a large amount of radiation near cyclotron due to the secondary particles and radioisotopes caused by collision between proton and nearby materials during the acceleration. Although the level of radiation by radioisotope decreases in length of time, radiation exposure problem still exists since workers are easily exposed by a low level of radiation for a long time due to their job assignment for maintenance or repair of the proton facility. In this paper, the working environment near cyclotron, where the highest radiation exposure is expected, was studied by measuring the degree of radiation and its duration for an appropriate level of protective action guide. To do this, we measured the radiation change in the graphite based energy degrader, the efficiency of transmitted beam and relative activation degree of the transmission beam line. The results showed that while the level of radiation exposure around cyclotron and beam line during the operation is much higher than the other radiation therapy facilities, the radiation exposure rate per year is under the limit recommended by the law showing 1~3 mSv/year.

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Development of Manual Multi-Leaf Collimator for Proton Therapy in National Cancer Center (국립암센터의 양성자 치료를 위한 수동형 다엽 콜리메이터 개발)

  • Lee, Nuri;Kim, Tae Yoon;Kang, Dong Yun;Choi, Jae Hyock;Jeong, Jong Hwi;Shin, Dongho;Lim, Young Kyung;Park, Jeonghoon;Kim, Tae Hyun;Lee, Se Byeong
    • Progress in Medical Physics
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    • v.26 no.4
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    • pp.250-257
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    • 2015
  • Multi-leaf collimator (MLC) systems are frequently used to deliver photon-based radiation, and allow conformal shaping of treatment beams. Many proton beam centers currently make use of aperture and snout systems, which involve use of a snout to shape and focus the proton beam, a brass aperture to modify field shape, and an acrylic compensator to modulate depth. However, it needs a lot of time and cost of preparing treatment, therefore, we developed the manual MLC for solving this problem. This study was carried out with the intent of designing an MLC system as an alternative to an aperture block system. Radio-activation and dose due to primary proton beam leakage and the presence of secondary neutrons were taken into account during these iterations. Analytical calculations were used to study the effects of leaf material on activation. We have fabricated tray model for adoption with a wobbling snout ($30{\times}40cm^2$) system which used uniform scanning beam. We designed the manual MLC and tray and can reduce the cost and time for treatment. After leakage test of new tray, we upgrade the tray with brass and made the safety tool. First, we have tested the radio-activation with usually brass and new brass for new manual MLC. It shows similar behavior and decay trend. In addition, we have measured the leakage test of a gantry with new tray and MLC tray, while we exposed the high energy with full modulation process on film dosimetry. The radiation leakage is less than 1%. From these results, we have developed the design of the tray and upgrade for safety. Through the radio-activation behavior, we figure out the proton beam leakage level of safety, where there detects the secondary particle, including neutron. After developing new design of the tray, it will be able to reduce the time and cost of proton treatment. Finally, we have applied in clinic test with original brass aperture and manual MLC and calculated the gamma index, 99.74% between them.

A Study on Intracavitary Therapy in Cervix Cancer Using Needle for Interstitial Therapy (조직 내 삽입용 바늘을 이용한 자궁경부암의 강내치료에 관한 연구)

  • Cho, Jung-Keun;Jung, Hong-Ryang;Lim, Cheong-Hwan;Kim, Jeong-Koo;Lee, Man-Koo
    • Journal of radiological science and technology
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    • v.29 no.2
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    • pp.83-92
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    • 2006
  • Based on the data of cervical cancer patients who were treated by the radiotherapy with concurrent chemotherapy at the radiation oncology department of National Cancer Center from January 2002 to February 2003, we have studied the method recommended by ICRU 38 to maximize the prescription dose to the planing target volume (PTV) with minimizing the dose to surrounding normal organs. Clinical stage of the patients are 1 patient for stage IB, 3 patients for IIA, 19 patients for IIB, 3 patients for IIIA, 3 patients for IIIB and 1 patient for IV. All patients took the MRI before treatment and the maximum size of the gross tumor volume were under 4cm for 17 patients and from 4 cm to 6 cm for 12 patients and above 6 cm for 1 patient. The results show that while the irradiated volume can be reduced with optimized dose distribution using PTV treatment planning (p<0.0001) when the remained tumor size is small, the surrounding normal organs will receive unnecessarily large dose when the irradiated tumor volume is relatively large. This is because there is some limitation in controling the intensity of radiation in Fletcher Williamson Applicator. To overcome the limit of applicator and to achieve the optimal dose distribution, we have virtually applied 4 needles with Fletcher Williamson Applicator for 10 patients who have relatively large tumor and studied the change in dose distribution before and after application. The results show that this new virtual treatment plan reduces the volume covered by 100 % isodose (p=0.0608, p=0.0607) and reduces the dose of normal organs (p=0.0162, p=0.008). This evidence suggest that this method is superior than the currently used method such as PTV treatment and ICRU treatment.

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