• Journal of the Korean Society of Radiology
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• v.17 no.4
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• pp.581-587
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• 2023

In this study, we tried to provide basic data for radiation safety management by comparing and analyzing the exposure doses of radiation workers and frequent workers at C University Hospital in Incheon. From January 2021 to December 2022, surface dose and deep dose were analyzed for 30 radiation workers and 8 frequent workers who worked at C university hospital in Incheon. Radiation workers were targeted at radiation technicians and nurses working in the radiation oncology department and nuclear medicine department, and frequent visitors were targeted at frequent workers who manage and clean facilities in the same radiation management area. In the radiation worker group, 3.1 per 10,000 radiation technologist, 1.2 per 100,000 nurses, and 4.5 per 1,000,000 frequent workers showed the possibility of developing side effects on the lungs. The probability of radiation oncology was 1.1 per 10,000 for radiation technologist and 5.2 per 1,000,000 for nurses, and the probability of radiation technologist in nuclear medicine was 2.9 per 10,000 and for nurses was 7.1 per 1,000,000. It is hoped that this study can be used as basic data in future revisions on frequent workers, and it is considered that it will be used as basic data in the field of obstacles in relation to the stochastic effect of radiation in the future.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.11 no.6
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• pp.2118-2123
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• 2010

Korean individual occupational exposure control is focused on the retrospective service to the over-exposed person by the reading of personal dosimeter. Since the radiophamaceuticals using in the nuclear medicine department are uncontained radiation sources, the potential exposure at working environment is very high. Moreover, a patient remains radioactive for hours or even days after the administration of a radiopharmaceutical for diagnosis or treatment. Thus, the proper working environmental exposure control must be established and executed to protect not only the affiliated employees, but also guardians accompanying patients and temporarily visiting public from the exposure by the patients. Japanese radiation protection law regulates working environmental radiation exposure by regularly measuring and filing the environmental dose for years. This study was aimed at measuring working environmental radiation dose in the nuclear medicine department of an university hospital located in Daejeon, Korea. We measured the accumulation radiation dose in air at 8 locations in the nuclear medicine department by using the same method as in Japan with glass dosimeters. The highest dose rate, 0.23 mSv per month, was measured at the waiting room, and the second one is at reception desk. Even though the doses were lower than the Korean constraint dose rate (0.3 mSv/week) at the boundary of the radiation controlled area, it was over the dose limit of public (1 mSv/y) and environment (0.25 mSv/y). Conclusionally, it was found that the new or additional procedure was necessary to less the exposure dose to the receptionist and guardians by the environmental radiation dose in the nuclear medicine department.

• Journal of the Society of Disaster Information
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• v.19 no.4
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• pp.815-825
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• 2023

Purpose: This paper aims to explore approaches for obtaining KOLAS certification for masks developed as protective equipment for use during evacuation processes in the event of a radiation disaster involving residents within a radiation emergency planning zone. Method: Various reports, papers, and data from the KOLAS accreditation bodies' websites were examined for this study. Result: Although domestic radiation disaster preparedness measures have been established to enhance resident protection, the distribution of protective equipment is limited to thyroid protection drugs. Supplementary support items like masks are necessary to prepare for radiation disasters. Currently, there is no KOLAS-accredited certification body for radiation protection masks. Conclusion: For masks that have established performance certification criteria, a dual process is required for KOLAS certification. This involves obtaining an official test report as an industrial respirator mask, receiving certification, and then obtaining a general test report based on internal standards.

• The Journal of the Korea Contents Association
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• v.14 no.11
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• pp.864-870
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• 2014

To propose a basis for the selection of personal dosimeters to measure radiation dose administration of radiation workers as a way to evaluate the usefulness dosimeter. For the dosimetry of the radiation workers 2012, during 1 year, 30 were radiation workers to measure personal dose. By personal exposure is measured cumulative dose, is investigated the performance of the TLD, PLD, OSLD. And comparing the measured value of each dosimeter dose and analyzed. Medical institutions, inspection work and quarterly confirmed the cumulative exposure dose of radiation workers. Using DAP and Ion-Chamber, to measure to compare TLD, PLD, OSLD dosimeter performance. A comparison of the directly through the X-ray dosimeter and The absolute value of the Ion-Chamber, OSLD more similar than in the TLD and PLD showed the dose values so the excellent ability to measure the results. Also in radiation generating area dose of radiation workers is higher than that in OSLD. Consequently, in terms of the individual exposure management OSLD is appropriated and beneficial than others.

• Journal of the Korean Society of Radiology
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• v.14 no.6
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• pp.733-740
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• 2020

As the use of radiation for medical purposes increases, the exposure dose of medical workers is also increasing. To reduce this dose, various studies on changing the shielding material have been conducted. Recently, a new method to reduce the dose at the entrance of the radiation treatment room was proposed by using the photoelectric effect that occurs when the radiation is scattered. Because this method is particularly effective for low-energy photons, in this study, a slit-type structure was proposed as a excellent shielding structure against scattered x-ray in a general photography room, and was evaluated the shielding effect by Monte Carlo simulation. As a result of the calculation, this study found that in the case of a structure in which steel plates with a thickness of 2 mm and a width of 5 cm are stacked at 2 mm intervals, a shielding effect was approximately 99.9% or more, excluding the heights of the floor and the patient where scattering occurs directly.

• Radiation Oncology Journal
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• v.29 no.1
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• pp.44-52
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• 2011

Purpose: To evaluate the outcomes and prognostic factors of postoperative radiotherapy (PORT) for patients with pathological stage III non-small-cell lung cancer (NSCLC) at a single institution. Materials and Methods: From 2000 to 2007, 88 patients diagnosed as having pathologic stage III NSCLC after curative resection were treated with PORT. There were 80 patients with pathologic stage IIIA and eight patients with pathologic stage IIIB in the AJCC 6th staging system. The majority of patients (n=83) had pathologic N2 disease, and 56 patients had single station mediastinal LN metastasis. PORT was administered using conventional technique (n=76) or three-dimensional conformal technique (n=12). The median radiation dose was 54 Gy (range, 30.6 to 63 Gy). Thirty-six patients received chemotherapy. Radiation pneumonitis was graded by the Radiation Therapy Oncology Group system, and other treatment-related toxicities were assessed by CTCAE v 3.0. Results: Median survival was 54 months (range, 26 to 77 months). The 5-year overall survival (OS) and disease free survival (DFS) rates were 45% and 38%, respectively. The number of metastatic lymph nodes was associated with overall survival (hazard ratio, 1.037; p-value=0.040). The 5-year locoregional recurrence free survival (LRFS) and distant metastasis free survival (DMFS) rates were 88% and 48%, respectively. Multiple stations of mediastinal lymph node metastasis was associated with decreased DFS and DMFS rates (p-value=0.0014 and 0.0044, respectively). Fifty-one relapses occurred at the following sites: 10 loco-regional, 41 distant metastasis. Grade 2 radiation pneumonitis was seen in three patients, and symptoms were well tolerated with anti-tussive medication. Grade 2 radiation esophagitis was seen in 11 patients. There were no grade 3 or more severe complications associated with PORT. Conclusion: Our retrospective data show that PORT for pathological stage III NSCLC is a safe and feasible treatment and could improve loco-regional control. The number of metastatic lymph nodes and stations of mediastinal lymph node metastasis were analyzed as prognostic factors. Furthermore, efforts are needed to reduce distant metastasis, which is a major failure pattern of advanced stage NSCLC.

• Journal of Digital Convergence
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• v.20 no.5
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• pp.375-381
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• 2022

The DEA-BCC model. And the Malmquist index have been used, from static and dynamic perspectives, to measure the eco-efficiency of 30 cities and provinces in China from 2011 to 2020. The results shows that: the average static eco-efficiency of 30 cities and provinces in China is 0.643. Differences exists all over China. While Shanghai and Beijing are ecologically efficient, other 28 cities and provinces are faced with different extents of inefficiency. There are also differences among regions, which generally show the spatial distribution pattern with high efficiency in the eastern regions while low in the western regions. The Malmquist index of eco-efficiency in total 30 cities and provinces shows a healthy growth trend, and the technological progress. Acts as its main driving force. Therefore, eastern regions should enhance the. radiation capacity, strengthen the synergy among regions, give full play to. The advantages of each regions. It is sensible to improve the eco-efficiency by means of optimizing the industrial structure, enhancing the technological level and improving eco-efficiency of China and realizing green development.

• Journal of the Korean Society of Radiology
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• v.13 no.3
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• pp.433-438
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• 2019

The medical institutions use radiation generating devices and radioactive isotopes to diagnose and treat patients. The patient transporter performs work in an environment that is more likely to be exposed to radiation when compared with the general public, such as inevitably entering the radiation management area for patient transfer, or transferring the isotope-administered patient at a short distance. For this reason, we conducted a study to determine the degree of exposure of the patient transporter. The 12 patient transporters working at Incheon A General Hospital are eligible. From April 1, 2019 to April 30, 2019, the dosimeter was used in the chest for one month and the accumulated dose was measured. The dosimeter used was a Optically Stimulated Luminescence Dosimetry (OSLD) and the dose reading was OSLD Microstar Reading System. As a result of cumulative dose measurement for one month, the average of the deep dose was 0.13 mSv and the surface dose was 0.13 mSv, and the cumulative dose for one month was multiplied by 12 to estimate the cumulative dose expectation As a result, the average of the deep dose and the surface dose were 1.52 mSv and 1.51 mSv, respectively. It is necessary to classify the patient transporter as a frequent visitor in order to measure and manage the exposure dose, increase the knowledge of protection against radiation through education and training, and prevent radiation trouble through medical examination.

• Journal of the Korean Orthopaedic Association
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• v.56 no.2
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• pp.150-156
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• 2021

Purpose: To determine how the location, displacement, intra-articular involvement, comminution of a 5th metatarsal base fracture affect results of early weight-bearing treatment. Materials and Methods: From January 2013 to July 2017, 34 cases of 34 patients diagnosed with a fracture of the zone I and II 5th metatarsal base were enrolled. The mean follow-up period was 13 months (6-15 months). One patient was excluded as a refracture during the follow-up period, and 33 patients underwent conservative treatment. Anteroposterior, lateral, and simple oblique radiography and computed tomography of the foot were performed to evaluate the location and displacement of the fracture, the degree of joint involvement, and comminution. In all 33 patients, a short leg cast or boot brace was selected immediately after the injury, tolerable weight bearing was allowed. If the pain disappeared, full weight bearing was performed after wearing a plain shoe or postoperative shoe. As a clinical result, the American Orthopedic Foot and Ankle Society (AOFAS) score was evaluated at the final follow-up. During outpatient follow-up, a simple radiograph of the foot was taken to confirm the time of radiological bone union and return to work. Results: Nine males and 24 females, with an average age of 48.7 years, were enrolled in the study. Twenty-four patients had zone I fractures, and nine patients had zone II fractures. Twenty-two out of 33 patients had a fracture displacement of 2 mm or more. Nine and five patients had joint involvement and comminution, respectively. There was a statistically significant return to work from zone I to zone II. The AOFAS score was excellent at the final follow-up and there was no significant difference. When classifying and comparing the degree of fracture displacement, joint involvement, and comminution, there were no significant differences in the radiological union time and return to work. In all cases, satisfactory results were obtained at the final follow-up. Conclusion: Satisfactory clinical results can be obtained by allowing early weight-bearing regardless of the fracture location, displacement, joint involvement, or comminution in zone I and II 5th metatarsal base fractures.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.8
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• pp.442-448
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• 2016

This study was conducted to determine the appropriateness of systemic radiation exposure control for students in clinical practice by comparing radiation exposure in radiography employees at different stations of a hospital with that of students conducting clinical practice using identical stations. Overall, 121 students who conducted clinical practice in the department of radiology area of C university hospital from July 2014 to August 2014 and 62 workers working in the same medical facility (47 in the department of radiology, 8 in the department of radiation oncology, 7 in the department of nuclear medicine) were investigated. The radiation exposure experienced by students was measured for 8 weeks, which is the duration of the clinical practice. Additionally, radiation exposure of workers were classified into 4 groups, department of radiology, department of radiation oncology, and department of nuclear medicine was compared. Dose was measured with OSLD and differences among groups were identified by ANOVA followed by Duncan's multiple range test. Among employees, those in the department of radiology, oncology and nuclear medicine were exposed depth doses of $0.127{\pm}0.331mSv$, $0.01{\pm}0.003mSv$, and $0.431{\pm}0.205mSv$, respectively, while students were exposed to $0.143{\pm}0.136mSv$. Additionally, workers in the department of radiology, oncology and nuclear medicine were exposed to surface doses of $0.131{\pm}0.331mSv$, $0.009{\pm}0.003mSv$, and $0.445{\pm}0.198mSv$, respectively, while students were exposed to $0.151{\pm}0.14mSv$, which was significantly different in both doses (p < 0.01). The average dose that students received is higher than that of the other groups (except for nuclear medicine workers), indicating that further improvements must be made in systemic controls for individual radiation exposure by including the students as subjects of management for protection from radiation.