• Title/Summary/Keyword: 불확실함

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Effects of Self-Gravity Acupressure on Mood Improvement (자가 중력 지압의 기분 상태 개선 효과)

  • Sung Kwon Park;Seong Chan Kim;Geum Na Hong;Min Joo Choi
    • Journal of Naturopathy
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    • v.12 no.2
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    • pp.56-66
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    • 2023
  • Background: Self-gravity acupressure (SGA), which complements the limitations of conventional manual therapies, is expected to have a positive effect on mood, closely related to reduction in stress. Purpose: This study aims to evaluate changes in mood states by SGA and to discuss its effects on stress relief and immunity. Methods: For 118 subjects (21 males and 97 females) who experienced the SGA program for 75 minutes, their mood states were assessed before and after the SGA session on 5 scales (0-4 points) using K-POMS consisting a total of 65 items grouped in six factors. For calculating the total mood disturbance score (iTMDs), the scores of the items in the only positive mood factor 'vigor-comfort' were reversed to have iTMDS increase the degree of the positive correlation with negative mood states. Results: The iTMDS decreased by 11.50% from 1.09±0.54 before SGA to 0.63±0.40 after SGA (p<0.001). The average score of the only positive factor 'vigor-comfort' increased by 10.78%, from 1.93±1.17 before SGA to 2.38±1.31 after SGA (p<0.001). On the other hand, the factor 'fatigue-inertia' of the 5 negative factors decreased most significantly in its average score by 16.73%, from 1.19±1.24 before SGA to 0.40±0.58 after SGA (p<0.001). The remaining 4 negative factors (depressed state, anxiety-fear, anger-hostility, and uncertainty-helplessness) decreased by within the range of 7.75% to 11.33% (p<0.001). Conclusions: Changes in K-POMS scores observed in this study indicate that the SGA program improves significantly mood. Since a mood state is closely related to stress and immunity, SGA is expected to have effects on stress relief and immunity enhancement (p<0.001). Continued studies are suggested to further validate the present results and to enhance the clinical utility, which include physiological signal measurements and clinical pathological examinations to test the effetcs of SGA on stress management and immunity enhancement.

Validation of ECOSTRESS Based Land Surface Temperature and Evapotranspiration (PT-JPL) Data Across Korea (국내에서 ECOSTRESS 지표면 온도 및 증발산(PT-JPL) 자료의 검증)

  • Park, Ki Jin;Kim, Ki Young;Kim, Chan Young;Park, Jong Min
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.44 no.5
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    • pp.637-648
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    • 2024
  • The frequency of extreme weather events such as heavy and extreme rainfall has been increasing due to global climate change. Accordingly, it is essential to quantify hydrometeorological variables for efficient water resource management. Among the various hydro-meteorological variables, Land Surface Temperature (LST) and Evapotranspiration (ET) play key roles in understanding the interaction between the surface and the atmosphere. In Korea, LST and ET are mainly observed through ground-based stations, which also have limitation in obtaining data from ungauged watersheds, and thus, it hinders to estimate spatial behavior of LST and ET. Alternatively, remote sensing-based methods have been used to overcome the limitation of ground-based stations. In this study, we evaluated the applicability of the National Aeronautics and Space Administration's (NASA) ECOsystem Spaceborne Thermal Radiometer Experiment on Space Station (ECOSTRESS) LST and ET data estimated across Korea (from July 1, 2018 to December 31, 2022). For validation, we utilized NASA's MODerate Resolution Imaging Spectroradiometer (MODIS) data and eddy covariance flux tower observations managed by agencies under the Ministry of Environment of South Korea. Overall, results indicated that ECOSTRESS-based LSTs showed similar temporal trends (R: 0.47~0.73) to MODIS and ground-based observations. The index of agreement also showed a good agreement of ECOSTRESS-based LST with reference datasets (ranging from 0.82 to 0.91), although it also revealed distinctive uncertainties depending on the season. The ECOSTRESS-based ET demonstrated the capability to capture the temporal trends observed in MODIS and ground-based ET data, but higher Mean Absolute Error and Root Mean Square Error were also exhibited. This is likely due to the low acquisition rate of the ECOSTRESS data and environmental factors such as cooling effect of evapotranspiration, overestimation during the morning. This study suggests conducting additional validation of ECOSTRESS-based LST and ET, particularly in topographical and hydrological aspects. Such validation efforts could enhance the practical application of ECOSTRESS for estimating basin-scale LST and ET in Korea.

Utilization of the National-Level Resource Productivity Indicators Considering the Economic Value of Metal Resources (금속 자원의 경제적 가치를 고려한 국가 단위 자원생산성 지표 활용 방안)

  • Jong-Hyo Lee;Hong-Yoon Kang;Yong Woo Hwang;Sang-Hyun Oh
    • Clean Technology
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    • v.30 no.3
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    • pp.276-286
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    • 2024
  • Since the Paris Agreement and the surge in global interest in climate change, the importance of measuring and managing national-level resource productivity has steadily grown. However, concerns about the reliability of productivity indicators persist due to inherent uncertainties. This study estimated the metal and non-metal resource productivities of 38 OECD countries through multiple regression analysis and conducted a comparative analysis of their ranking changes according to their current resource productivities. The study results revealed that the 38 OECD countries could be classified into four categories. First, countries with low overall resource productivities due to a high economic dependence on low-value metal resources by weight exhibited a substantial rise in their non-metal resource productivity rankings. Second, countries that have minimal metal industries in their national economies but generate high value-added from these sectors showed a notable increase in their metal resource productivity rankings. Third, countries with a low proportion of metal industry in their economies and low metal resource productivities experienced significant declines in their metal resource productivity rankings. Fourth, countries with a small disparity between their metal and non-metal resource productivities showed minimal changes in their rankings for both categories. These results highlight that changes in metal resource productivity rankings were more pronounced than those for non-metal resources, which implies that the influence of non-metal resources (biomass, fossil fuels, non-metallic minerals) dominates national-level resource productivity because their economic value is higher than metal resources. These findings suggest that it is necessary to manage the economic value of each resource type as distinct statistical data to provide a more nuanced understanding of national resource productivity.

Categorization of Factors Causing the Framing Effect and Analysis of the 2015 Revised Curriculum Science Textbooks: Focusing on Risk Expressions (틀효과 발생 요인 범주화 및 2015 개정 교육과정 과학과 교과서 분석 -위험 표현을 중심으로-)

  • Hyeonju Lee;Minchul Kim
    • Journal of The Korean Association For Science Education
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    • v.44 no.5
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    • pp.391-404
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    • 2024
  • The development of science and technology brings abundance and convenience to human life, but it also brings risks. The risks caused by science and technology are universal and far-reaching, affecting the lives of humans, and they are living in an uncertain VUCA era where humans cannot predict when and where they will encounter risks. In order to respond to these risks, it is necessary to increase the level of citizens' risk awareness through risk education. It is necessary to discuss the role of science education in helping citizens to judge and respond to risks scientifically and objectively. On the other hand, in the process of judging and assessing risks, citizens are affected by the frames and ways in which risk information is expressed, a phenomenon known as the "Framing Effect". In this study, we categorized the factors that cause the framing effect, and based on the categorization, we compared and analyzed the frames of risk expression presented in the 2015 revised curriculum science textbooks. For this purpose, we categorized the factors that cause the framing effect by looking at papers published in KCI and SSCI journals with keywords "Framing Effect", and extracted the risk expression texts in textbooks and analyzed them according to the categories. We were able to derive eight factors causing framing effect and categorize the relationship between the factors in a 5x5 matrix. The differences in the frequency of risk expressions by subject in the 2015 revised science curriculum were related to the nature of the subject and the achievement standards, and the differences in the frequency of risk expressions could be identified by the categories of framing and presentation methods. This study is significant in that it examines the way risk is expressed by science subjects based on the factors that cause the framing effect and suggests the importance of the framing effect in risk education.

Diffuse Panbronchiolitis : Clinical Significance of High-resolution CT and Radioaerosol Scan Manifestations (미만성 범세기관지염에서 흉부 고해상도 전산화 단층촬영의 임상적의의 및 폐환기주사 소견)

  • Song, So Hyang;Kim, Hui Jung;Kim, Young Kyoon;Moon, Hwa Sik;Song, Jeong Sup;Park, Sung Hak;Kim, Hak Hee;Chung, Soo Kyo
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.1
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    • pp.124-135
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    • 1997
  • Background : Diffuse panbronchiolitis(DPB) is a disease characterized clinically by chronic cough, expectoration and dyspnea; and histologically by chronic inflammation localized mainly in the region of the respiratory bronchiole. It is prevalent in Japanese, but is known to be rare in Americans and Europians. Only a few cases in Chinese, Italians, North Americans and Koreans have been reported. It is diagnosed by characteristic clinical, radiological and pathologic features. High-resolution CT(HRCT) is known to be valuable in the study of the disease process and response to therapy in DPB. To our knowledge, there has been no correlation of its appearance on HRCT with the severity of the disease process, and radioaerosol scan(RAS) of the lung has not previously been used for the diagnosis of DPB. Method : During recent two years we have found 12 cases of DPB in Kangnam St. Mary's Hospital, Catholic University Medical College. We analysed the clinical characteristics, compared HRCT classifications with clinical stages of DPB, and determined characteristic RAS manifestations of DPB. Results : 1. The ages ranged from 31 to 83 years old(mean 54.5 years old), and male female ratio was 4:8. 75%(9/12) of patients had paranasal sinusitis, and only one patient was a smoker. 2. The patients were assigned to one of three clinical stages of DPB on the basis of clinical findings, sputum bacterology and arterial blood gas analysis. of 12 cases, 5 were in the first stage, 4 were in the second stage, and 3 were in the third stage. In most of the patients, pulmonary function tests showed marked obstructive and slight restrictive impairments. Sputum culture yielded P.aeruginosa in 3 cases of our 12 cases, K.pneumoniae in 2 cases, H.influenzae in 2 cases, and S.aureus in 2 cases. 3. Of 12 patients, none had stage I characteristics as classified on HRCT scans, 4 had slage II findings, 5 had stage III findings, and 3 had stage IV characteristics. 4. We peformed RAS in 7 of 12 patients With DPB. In 71.4% (5/7) of the patients, RAS showed mottled aerosol deposits characteristically in the transitional and intermediary airways with peripheral airspace defects, which contrasted sharply with central aerosol deposition of COPD. 5. There were significant correlations between HRCT stages and clinical stages(r= 0.614, P < 0.05), between HRCT types and Pa02(r= -0.614, P < 0.05), and between HRCT types and ESR(r= 0.618, P < 0.01). Conclusion : The HRCT classifications correspond well to the clinical stage. Therfore in the examination of patients with DPB, HRCT is useful in the evaluation of both the location and severity of the lesions. Also, RAS apears to be a convenient, noninvasive and useful diagnostic method of DPB.

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An Analysis of the Imported Consumer Goods Distribution Sector of Korea: From a Vertical Structure Viewpoint (수입소비재(輸入消費財) 유통구조(流通構造)의 효율화(效率化) 방안(方案))

  • Nam, Il-chong
    • KDI Journal of Economic Policy
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    • v.13 no.1
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    • pp.3-33
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    • 1991
  • Since the early 1980's, the Korean government has gradually been widening the Korean market to foreign consumer goods. This, combined with the increased purchasing power of the Korean consumers resulting from the continued economic growth of the country, has sparked a spectacular influx of foreign consumer goods into Korea, ranging from BMW's to chopsticks. Import of foreign consumer goods amounted to more than 6 billion dollars in 1989 and is continuing to grow at a rapid rate. The increased import of foreign consumer goods doubtlessly improved the overall welfare of the Korean consumers by providing them with a wider range of options to choose from, by lowering the prices of some of the consumer goods domestically produced, and also by forcing the producers of some Korean goods to face competition with better foreign goods, thus giving them an incentive to raise the quality of their products. However, it is agreed by most economists that this increase in general welfare has been much smaller than what they had expected at the outset. Consumer prices of most imported consumer goods are easily double the import price, and in some cases, more than treble the import prices. Further, there has not been a noticeable drop in the prices of domestically produced consumer goods. Much of the blame has been attributed to the distribution sector of Korea. The objective of this paper is to analyze the imported consumer goods distribution sector of Korea, focusing on the possible sources of the poor performance of that sector, and to make policy suggestions that could potentially increase the welfare. This paper differs from all the previous research by others on this subject in that it analyzes the imported consumer goods distribution sector of Korea as a vertical structure. The distribution sector of an imported consumer good is a vertical structure since it consists of an international market, an import stage, and domestic wholesale and retail markets, in that order vertically. Our study naturally includes the analysis of the vertical restraints as well as the analysis of the industrial organization of each horizontal stage in the vertical structure. Each horizontal component of the imported consumer goods distribution sector is basically a monopolistically competitive market differentiated by characteristics of goods and by the locations and the services of firms. Further, restrictive dealership and resale price maintenance are found to be widely in use. Our main findings are the follwing; First, most consumer goods are imported monopolistically or oligopolistically through restrictive dealership contracts between foreign producers and domestic importers. Such restrictive dealership gives importers market power in the domestic market and explains many of the large discrepancies betwen the consumer prices and the import prices of many goods. Korean anti - trust law does not cover the issues arising from the market power of an importer resulting from a restrictive dealership contract. Second, some major producers of Korean goods are also importers of foreign goods that are substitutes of their products. The import of substitutes by major domestic producers is anti - competitive because it tends to raise the prices of both domestic goods and foreign goods, and also because it reduces the incentive of the domestic producers to raise the quality of their products. Third, wholesalers and retailers widely use resale price maintenance as a price fixing mechanism, and while this is against the anti- trust law, it seldom gets noticed. Fourth, the high level of rents of real estate for commercial use works as an entry barrier to the distribution sector and results in reduced competition by the firms in that sector. Finally, there are information problems. Consumers have inferior information to firms about the quality of a foreign consumer good that they have not tried before. Such information asymmetry often enables firms to raise prices. In addition, information asymmetry between importers frequently delays the import of cheaper substitutes. In order to alleviate the problems indentified above, we suggest the following policy changes. The government should strengthen the anti - trust law and its enforcement to regulate restrictive import contracts, import of competing goods by major domestic producers, and RPM by wholesalers and retailers that is aimed at price fixing. In addition, the government should loosen its tight real estate policy to encourage investment in the distribution sector. Finally, we suggest that the import price revelation policy that has been in use for some items since 1990 be expanded to most imported consumer goods that are introduced for the first time to give consumer better information and be used only for the period of time needed to inform sufficient number of consumers.

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Future Changes in Global Terrestrial Carbon Cycle under RCP Scenarios (RCP 시나리오에 따른 미래 전지구 육상탄소순환 변화 전망)

  • Lee, Cheol;Boo, Kyung-On;Hong, Jinkyu;Seong, Hyunmin;Heo, Tae-kyung;Seol, Kyung-Hee;Lee, Johan;Cho, ChunHo
    • Atmosphere
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    • v.24 no.3
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    • pp.303-315
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    • 2014
  • Terrestrial ecosystem plays the important role as carbon sink in the global carbon cycle. Understanding of interactions of terrestrial carbon cycle with climate is important for better prediction of future climate change. In this paper, terrestrial carbon cycle is investigated by Hadley Centre Global Environmental Model, version 2, Carbon Cycle (HadGEM2-CC) that considers vegetation dynamics and an interactive carbon cycle with climate. The simulation for future projection is based on the three (8.5/4.5/2.6) representative concentration pathways (RCPs) from 2006 to 2100 and compared with historical land carbon uptake from 1979 to 2005. Projected changes in ecological features such as production, respiration, net ecosystem exchange and climate condition show similar pattern in three RCPs, while the response amplitude in each RCPs are different. For all RCP scenarios, temperature and precipitation increase with rising of the atmospheric $CO_2$. Such climate conditions are favorable for vegetation growth and extension, causing future increase of terrestrial carbon uptakes in all RCPs. At the end of 21st century, the global average of gross and net primary productions and respiration increase in all RCPs and terrestrial ecosystem remains as carbon sink. This enhancement of land $CO_2$ uptake is attributed by the vegetated area expansion, increasing LAI, and early onset of growing season. After mid-21st century, temperature rising leads to excessive increase of soil respiration than net primary production and thus the terrestrial carbon uptake begins to fall since that time. Regionally the NEE average value of East-Asia ($90^{\circ}E-140^{\circ}E$, $20^{\circ}N{\sim}60^{\circ}N$) area is bigger than that of the same latitude band. In the end-$21^{st}$ the NEE mean values in East-Asia area are $-2.09PgC\;yr^{-1}$, $-1.12PgC\;yr^{-1}$, $-0.47PgC\;yr^{-1}$ and zonal mean NEEs of the same latitude region are $-1.12PgC\;yr^{-1}$, $-0.55PgC\;yr^{-1}$, $-0.17PgC\;yr^{-1}$ for RCP 8.5, 4.5, 2.6.

A Study on the Factors Influencing Technology Innovation Capability on the Knowledge Management Performance of the Company: Focused on Government Small and Medium Venture Business R&D Business (기술혁신역량이 기업의 지식경영성과에 미치는 요인에 관한 연구: 정부 중소벤처기업 R&D사업을 중심으로)

  • Seol, Dong-Cheol;Park, Cheol-Woo
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.15 no.4
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    • pp.193-216
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    • 2020
  • Due to the recent mid- to long-term slump and falling growth rates in the global economy, interest in organizational structures that create new products or services as a new alternative to survive and develop in an opaque environment both internally and externally, and enhance organizational sustainability through changes in production methods and business innovation is increasing day by day. In this atmosphere, we agree that the growth of small and medium-sized venture companies has a significant impact on the national economy, and various efforts are being made to enhance the technological innovation capabilities of the members so that these small and medium-sized venture companies can enhance and sustain their performance. The purpose of this study is also to investigate how the technological innovation capabilities of small and medium-sized venture companies correlate with the performance of knowledge management and to analyze the role of network capabilities to organize the strategic activities of enterprise to obtain the resources and organizational capabilities to be used for value creation from external networks. In other words, research was conducted on the impact of technological innovation capabilities of small and medium venture companies on knowledge management performance by using network capabilities as parameters. Therefore, in this study, we would like to verify the hypothesis that innovation capabilities will have a positive impact on knowledge management performance by using network capabilities of small and medium venture companies. Economic activities based on technological innovation capabilities should respond quickly to new changes in an environment where uncertainty has increased, and lead to macro-economic growth and development as well as overcoming long-term economic downturns so that they can become the nation's new growth engine as well as sustainable growth and survival of the organization. In addition, this study was conducted by setting the most important knowledge management performance within the organization as a dependent variable. As a result, R&D and learning capabilities among technological innovation capabilities have no impact on financial performance. In contrast, it was shown that corporate innovation activities have a positive impact on both financial and non-financial performance. The fact that non-financial factors such as quality and productivity improvement are identified in the management of small and medium-sized venture companies utilizing their technological innovation capabilities is contrary to a number of studies by those corporate innovation activities affect financial performance during prior research. The reason for this result is that research companies have been out of start-up companies for more than seven years, but sales are less than 10 billion won, and unlike start-up companies, R&D and learning capabilities have more positive effects on intangible non-financial performance than financial performance. Corporate innovation activities have been shown to have a positive (+) impact on both financial and non-financial performance, while R&D and learning capabilities have a positive (+) impact on financial performance by parameters of network capability. Corporate innovation activities have been shown to have no impact on both financial and non-financial performance, and R&D and learning capabilities have no impact on non-financial performance. It could be seen that the parameter effects of network competency are limited to when R&D and learning competencies are derived from quantitative financial performance. It could be seen that the parameter effects of network competency are limited to when R&D and learning competencies are derived from quantitative financial performance.

Macromineral intake in non-alcoholic beverages for children and adolescents: Using the Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV, 2007-2009) (어린이와 청소년의 비알콜성음료 섭취에 따른 다량무기질 섭취량 평가: 제 4기 국민건강영양조사 자료를 활용하여)

  • Kim, Sung Dan;Moon, Hyun-Kyung;Park, Ju Sung;Lee, Yong Chul;Shin, Gi Young;Jo, Han Bin;Kim, Bog Soon;Kim, Jung Hun;Chae, Young Zoo
    • Journal of Nutrition and Health
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    • v.46 no.1
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    • pp.50-60
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    • 2013
  • The aims of this study were to estimate daily intake of macrominerals from beverages, liquid teas, and liquid coffees and to evaluate their potential health risks for Korean children and adolescents (1-to 19 years old). Assessment of dietary intake was conducted using the actual level of sodium, calcium, phosphorus, potassium, and magnesium in non-alcoholic beverages and (207 beverages, 19 liquid teas, and 24 liquid coffees) the food consumption amount drawn from "The Fourth Korea National Health and Nutrition Examination Survey (2007-2009)". To estimate the dietary intake of non-alcoholic beverages, 6,082 children and adolescents (Scenario I) were compared with 1,704 non-alcoholic beverage consumption subjects among them (Scenario II). Calculation of the estimated daily intake of macrominerals was based on point estimates and probabilistic estimates. The values of probabilistic macromineral intake, which is a Monte-Carlo approach considering probabilistic density functions of variables, were presented using the probabilistic model. The level of safety for macrominerals was evaluated by comparison with population nutrient intake goal (Goal, 2.0 g/day) for sodium, tolerable upper intake level (UL) for calcium (2,500 mg/day) and phosphorus (3,000-3,500 mg/day) set by the Korean Nutrition Society (Dietary Reference Intakes for Koreans, KDRI). For total children and adolescents (Scenario I), mean daily intake of sodium, calcium, phosphorus, potassium, and magnesium estimated by probabilistic estimates using Monte Carlo simulation was, respectively, 7.93, 10.92, 6.73, 23.41, and 1.11, and 95th percentile daily intake of those was, respectively, 28.02, 44.86, 27.43, 98.14, and 3.87 mg/day. For consumers-only (Scenario II), mean daily intake of sodium, calcium, phosphorus, potassium, and magnesium estimated by probabilistic estimates using Monte Carlo simulation was, respectively, 19.10, 25.77, 15.83, 56.56, and 2.86 mg/day, and 95th percentile daily intake of those was, respectively, 62.67, 101.95, 62.09, 227.92, and 8.67 mg/day. For Scenarios I II, sodium, calcium, and phosphorus did not have a mean an 95th percentile intake that met or exceeded the 5% of Goal and UL.

Evaluation of the Positional Uncertainty of a Liver Tumor using 4-Dimensional Computed Tomography and Gated Orthogonal Kilovolt Setup Images (사차원전산화단층촬영과 호흡연동 직각 Kilovolt 준비 영상을 이용한 간 종양의 움직임 분석)

  • Ju, Sang-Gyu;Hong, Chae-Seon;Park, Hee-Chul;Ahn, Jong-Ho;Shin, Eun-Hyuk;Shin, Jung-Suk;Kim, Jin-Sung;Han, Young-Yih;Lim, Do-Hoon;Choi, Doo-Ho
    • Radiation Oncology Journal
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    • v.28 no.3
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    • pp.155-165
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    • 2010
  • Purpose: In order to evaluate the positional uncertainty of internal organs during radiation therapy for treatment of liver cancer, we measured differences in inter- and intra-fractional variation of the tumor position and tidal amplitude using 4-dimentional computed radiograph (DCT) images and gated orthogonal setup kilovolt (KV) images taken on every treatment using the on board imaging (OBI) and real time position management (RPM) system. Materials and Methods: Twenty consecutive patients who underwent 3-dimensional (3D) conformal radiation therapy for treatment of liver cancer participated in this study. All patients received a 4DCT simulation with an RT16 scanner and an RPM system. Lipiodol, which was updated near the target volume after transarterial chemoembolization or diaphragm was chosen as a surrogate for the evaluation of the position difference of internal organs. Two reference orthogonal (anterior and lateral) digital reconstructed radiograph (DRR) images were generated using CT image sets of 0% and 50% into the respiratory phases. The maximum tidal amplitude of the surrogate was measured from 3D conformal treatment planning. After setting the patient up with laser markings on the skin, orthogonal gated setup images at 50% into the respiratory phase were acquired at each treatment session with OBI and registered on reference DRR images by setting each beam center. Online inter-fractional variation was determined with the surrogate. After adjusting the patient setup error, orthogonal setup images at 0% and 50% into the respiratory phases were obtained and tidal amplitude of the surrogate was measured. Measured tidal amplitude was compared with data from 4DCT. For evaluation of intra-fractional variation, an orthogonal gated setup image at 50% into the respiratory phase was promptly acquired after treatment and compared with the same image taken just before treatment. In addition, a statistical analysis for the quantitative evaluation was performed. Results: Medians of inter-fractional variation for twenty patients were 0.00 cm (range, -0.50 to 0.90 cm), 0.00 cm (range, -2.40 to 1.60 cm), and 0.00 cm (range, -1.10 to 0.50 cm) in the X (transaxial), Y (superior-inferior), and Z (anterior-posterior) directions, respectively. Significant inter-fractional variations over 0.5 cm were observed in four patients. Min addition, the median tidal amplitude differences between 4DCTs and the gated orthogonal setup images were -0.05 cm (range, -0.83 to 0.60 cm), -0.15 cm (range, -2.58 to 1.18 cm), and -0.02 cm (range, -1.37 to 0.59 cm) in the X, Y, and Z directions, respectively. Large differences of over 1 cm were detected in 3 patients in the Y direction, while differences of more than 0.5 but less than 1 cm were observed in 5 patients in Y and Z directions. Median intra-fractional variation was 0.00 cm (range, -0.30 to 0.40 cm), -0.03 cm (range, -1.14 to 0.50 cm), 0.05 cm (range, -0.30 to 0.50 cm) in the X, Y, and Z directions, respectively. Significant intra-fractional variation of over 1 cm was observed in 2 patients in Y direction. Conclusion: Gated setup images provided a clear image quality for the detection of organ motion without a motion artifact. Significant intra- and inter-fractional variation and tidal amplitude differences between 4DCT and gated setup images were detected in some patients during the radiation treatment period, and therefore, should be considered when setting up the target margin. Monitoring of positional uncertainty and its adaptive feedback system can enhance the accuracy of treatments.