• 제목/요약/키워드: CM At Risk

검색결과 356건 처리시간 0.031초

광자극형광나노닷선량계를 사용한 6 MV 조사야 가장자리 바깥 선량 측정 (Measurement of Dose outside a 6 MV Field Edge Using Optically Stimulated Luminescent Nano Dot Dosimeters)

  • 김종언;김원태
    • 한국방사선학회논문지
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    • 제8권7호
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    • pp.449-454
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    • 2014
  • 이 연구의 목적은 6 MV 광자 빔에 대하여 팬텀 표면으로부터 1 cm 깊이에서 조사야 가장자리 바깥 축외선량비와 1 mmPb의 차폐비를 조사하는 데 있다. 180 cGy의 선량은 SAD기법에서 $10{\times}10cm^2$$15{\times}15cm^2$ 조사야에 대하여 깊이 10 cm에 전달되었다. 축외선량비는 조사야의 중심축과 가장자리로부터 2, 4, 6 cm에 위치된 광자극형광나노닷선량계(OSLnD)들의 선량을 측정하여 계산하였다. 그리고 1 mmPb의 차폐비는 조사야 가장자리로부터 2, 4, 6 cm에 위치된 OSLnD들의 선량을 측정하여 산출하였다. 결과로서, $10{\times}10cm^2$$15{\times}15cm^2$ 조사야에 대하여, 축외선량비들은 0.008-0.023과 0.011-0.028을 각각 얻었다. 또한 1 mmPb의 차폐비들은 0.868-0.888과 0.807-0.842을 각각 얻었다. 이 결과들은 방사선치료 조사야 바깥에 위치한 위험장기들을 보호하기 위한 자료를 제공한다.

CCA 방부처리 목재로부터 크롬, 구리 및 비소의 용탈 특성 (Characteristics of Chromium, Copper, and Arsenic Leaching from CCA-Treated Wood)

  • 김희갑;김동진
    • Environmental Analysis Health and Toxicology
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    • 제22권4호
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    • pp.339-348
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    • 2007
  • A laboratory experiment was conducted to study the characteristics of leaching of Cr, Cu, and As from chromated topper arsenate (CCA)-treated wood. The wood species tested was hemlock spruce ($10\;cm\;{\times}\;10\;cm\;{\times}\;10\;cm\;tube$). The leaching experiment was conducted over 60 days using I L of leachants whose pHs were adjusted to 2.0, 3.7, and 1.6, respectively with nitric acid, and also using lake water, according to the OECD guideline. Each leachate was analyzed for Cr and Cu using flame-AAS, and for As using vapor generation-AAS. Three metals were loathed at the highest levels at pH 2.0 but almost at similar levels at the other conditions. Cumulative quantifies over 60 days of a leaching period were in order of As>Cu>Cr. As was predicted to leach with an increase in flux over a 10 year period, while Cr and Cu fluxes were predicted to decrease with time. This result suggest that arsenic can pose a health risk to humans over a long period of time, when CCA-treated wood is used for building facilities (e.g., playgrounds, residential purposes, etc.) with which humans frequently contact.

시공책임형 CM의 국내 공공부문 도입을 위한 제도적 기반 수립 연구 (Institutional Research for the Introduction of Construction Management at Risk in the Public Sector)

  • 박지호;김경래;배병윤
    • 한국건설관리학회논문집
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    • 제22권4호
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    • pp.20-28
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    • 2021
  • 국내 건설산업은 시공자 중심의 일방적인 생산방식에서 발주자와 시공자의 협업이 가능한 생산방식으로 변화하는 과정에 있다. 발주 방식에 따라 입·낙찰 방식, 계약 방식, 그리고 발주자의 사업 관여 정도도 달라질 수 있다. 본 논문에서는 국내 환경에 적합한 '시공책임형 건설사업관리' 도입을 위해서 국·내외 제도 분석과 입·낙찰 프로세스 분석, 계약이행 및 관리 분석, 사후관리 분석을 하고, 법제화를 위한 관련 법령 조문화와 제도의 효율적 운영을 위한 방안을 제시하고자 국·내외 시공책임형 건설사업관리의 제도 및 사례분석을 실시하였다. 건설산업기본법에 정의된 '시공책임형 건설사업관리'는 Pre-Con 업무를 수행하는 용역계약인 본 계약 이전 계약과 건설사업관리 및 공사계약인 본 계약으로 구분된다. 그러므로 '시공책임형 건설사업관리'는 해외의 사례와 같이 낙찰제도가 아니라 발주 방식의 하나로 보아야 하며, 도입을 위해서 설계/시공 일괄입찰, 기술제안 입찰과 동등한 입찰제도로서의 법제화가 필요하다. 국내 환경에 적합한 '시공책임형 건설사업관리' 도입을 위해서 국·내외 제도 분석과 입·낙찰 프로세스 분석, 계약이행 및 관리분석, 사후관리 분석을 하고, 법제화를 위한 관련 법령 조문의 개정과 제도의 효율적인 운영을 위한 방법을 본 제도의 본래 장점은 유지하면서 국내 시장에서 적용이 가능하도록 제시하였다.

이동형 X선 장치 차폐도구 제작을 통한 표면선량 분포 측정 (Measurement of Skin Dose Distribution for the Mobile X-ray Unit Collimator Shielding Device)

  • 홍선숙;김득용
    • 대한디지털의료영상학회논문지
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    • 제12권1호
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    • pp.5-8
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    • 2010
  • Opened a court in February 10, 2006, a rule of safety management of the diagnosis radiation system was promulgated for safety of the radiation worker, patients and patients' family members. The purpose of this rule is to minimize the risk of being exposed to radiation during the process of handling X-ray. For this reason, we manufactured shielding device of mobile X-ray unit collimator for diminution of skin dose. Shielding device is made to a thickness of Pb 0.375mm. For portable chest radiography, we measured skin dose 50cm from center ray to 200cm at intervals of 20cm by Unfors Xi detector. As a result, a rule of safety management of the diagnosis radiation system has been strengthened. But there are exceptions, such as ER, OR, ICU to this rule. So shielding device could contribute to protect unnecessary radiation exposure and improve nation's health.

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Association of Serum HE4 with Primary Tumor Diameter and Depth of Myometrial Invasion in Endometrial Cancer Patients at Rajavithi Hospital

  • Prueksaritanond, Nisa;Cheanpracha, Patchara;Yanaranop, Marut
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권3호
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    • pp.1489-1492
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    • 2016
  • Background: Although there are no biomarkers that are routinely used in endometrial cancer (EC) management, many studies have found that serum human epididymis protein 4 (HE4) is superior to cancer antigen 125 (CA125) in the detection of EC. The correlation of HE4 with two prognostic factors for EC, primary tumor diameter (PTD) and depth of myometrial invasion (DMI) may be useful in identifying EC patients at high risk of lymphatic dissemination. Objective: To evaluate the correlation of serum HE4 with PTD and DMI in patients with EC. Materials and Methods: A cross-sectional study was conducted on 70 EC patients who were scheduled for elective surgery at Rajavithi Hospital between 1st September 2013 and 30th May 2014. Preoperative serum levels of HE4 and CA125 were investigated, and then gross measurement of PTD was taken and postoperative pathologic slides were reviewed for DMI including histologic types, grading and staging. Results: Preoperative serum HE4 levels were strongly correlated with PTD (r=0.65, p<0.001) and moderately correlated with DMI (r=0.46, p<0.001). Moreover, serum HE4 levels were significantly elevated in EC patients with PTD >2 cm (p<0.001) and DMI > 50% (p=0.004). The performance of serum HE4 in identifying EC patients at low risk and high risk of lymph node metastasis was significantly better than that of CA125 (AUC 0.88 vs. 0.65, p=0.003). At an optimal cut-off value of 70 pM/L, serum HE4 had a sensitivity of 83.3% and a specificity of 80.0%. Conclusions: In EC patients, preoperative serum HE4 is significantly correlated with PTD and DMI. Serum HE4 levels could be useful in identifying endometrial cancer patients at high risk of lymphatic spread who would benefit from systemic lymphadenectomy at the cut-off value of 70 pM/L.

경기지역 일부 대학생들의 식생활 관련 심혈관대사질환 건강위험도 평가 (Diet-Related Health Risk Appraisal for Cardiometabolic Diseases of the College Students in Gyunggi-do)

  • 김형숙
    • 한국지역사회생활과학회지
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    • 제25권1호
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    • pp.89-98
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    • 2014
  • This study was conducted to assess diet-related health appraisal for cardiometabolic diseases of the college students in Gyeonggi-do. The survey data obtained by 21 questionnaire(6 general characteristics and 15 food behaviors) given to 90 students, 41 males and 49 females. The average age of the subjects was 22.2 years old for the male students and 20.9 years old for the female students(p<0.001). Among the subjects, 35 males and 47 females' height, weight and percentage of body fat were measured using bioelectrical impedance(Inbody 720). The average height, weight, Body Mass Index and percent body fat of the subjects were 175.7cm, 69.5kg, 22.4 and 16.9% for males and 162.0cm, 53.5kg, 20.4 and 27.7% for females, respectively (p<0.001). Male students had a higher prevalence of smoking compared with female students(p<0.001). Females had higher intake frequency of fruits than males(p<0.05). Males had higher intake frequency of fishes than females(p<0.05). Male students had higher number of side dishes at mealtime compared with female students. There were no difference between the sexes in intake frequency of dairy, ramyeon, rice with whole grain, 3-layered pork belly, processed meat, soft drinks, soy products and fast food. Also, there were no difference between sexes in number of vegetables per day, frequency of eating out, prevalence of eating kimchi at every meal. Cardiometabolic risks were calculated by 'Diet-related health risk appraisal'. Male students had higher cardiometabolic risks(hypertension, hyperlipidemia, diabetes, obesity, abdominal obesity) than female students(p<0.001). Appropriate nutritional education for college male students may help to prevent cardiometabolic diseases in the future.

Evaluation of Waist Circumference Cut-off Values as a Marker for Fatty Liver among Japanese Workers

  • Abe, Naomi;Honda, Sumihisa;Jahng, Doosub
    • Safety and Health at Work
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    • 제3권4호
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    • pp.287-293
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    • 2012
  • Objectives: Metabolic syndrome has received attention as a risk factor for cardiovascular disease, with particular importance attached to visceral fat accumulation, which is associated with lifestyle-related diseases and is strongly correlated with waist circumference. In this study, our aim is to propose waist circumference cut-off values that can be used as a marker for fatty liver based on a sample of workers receiving health checkups in Japan. Methods: This study was conducted in a total of 21,866 workers who underwent periodic health checkups between January 2007 and December 2007. The mean age of the subjects was 47.4 years for men (standard deviation [SD]: 8.0) and 44.7 years for women (SD: 6.9). Evaluation included abdominal ultrasound and measurement of waist circumference, body mass index, fasting blood glucose, triglycerides, high-density lipoprotein cholesterol, and blood pressure. Results: Based on receiver operating characteristic curve analysis, the optimal waist circumference cut-off values were shown as 85.0 cm (sensitivity 0.72, specificity 0.69) for men and 80.0 cm (sensitivity 0.75, specificity 0.78) for women. Conclusion: Abdominal ultrasound is the most efficient means of diagnosing fatty liver, but this examination seldom occurs because the test is not routinely performed at workers' health checkups. In people found to have a high risk of fatty liver, recommendations can be made for abdominal ultrasound based on the waist circumference cut-off values obtained in this study. That is, waist circumference can be used in high risk individuals as an effective marker for early detection of fatty liver.

Risk Factors of Lymph Node Metastases with Endometrial Carcinoma

  • Cetinkaya, Kadir;Atalay, Funda;Bacinoglu, Ahmet
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권15호
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    • pp.6353-6356
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    • 2014
  • Background: The purpose of this study was to investigate and evaluate risk factors for lymph node metastases (LNM) in cases of endometrial cancer (EC). Materials and Methods: A retrospective single institution analysis of patients surgically staged for EC at Ankara Oncology Education and Research Hospital from 1996 to 2010 was performed. Roles of prognostic factors, such as age, histological type, grade, depth of myometrial invasion, cervical involvement, peritoneal cytology, and tumor size, in the prediction of LNM were evaluated. Fisher's exact test and logistic regression analysis were used to assess the effects of various factors on LNM. Results: LNM was observed in 22 out of 247 patients (8.9%) and was significantly more common in the presence of tumors of higher grade, deep myometrial invasion (DMI), cervical involvement, size >2cm, and with positive peritoneal cytology. Logistic regression analysis revealed that DMI remained the only independent risk factor for LNM. NPV, PPV, sensitivity, and specificity for satisfying LNM risk were 98.0, 19.5, 86.3, and 65.3%, respectively for DMI. Conclusions: The incidence of LNM is influenced independently by DMI. If data support a conclusion of DMI, LND should be seriously considered.

건설사업관리에서 형상관리에 관한 변경 프로세스 개선에 관한 연구 (A Study of Development of Change Process for Configuration Management in Construction Project Management)

  • 고호은;박형근
    • 대한토목학회논문집
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    • 제29권1D호
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    • pp.81-89
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    • 2009
  • 형상관리는 생산품의 기능과 생애주기에 걸쳐 생산품의 요구사항, 설계 그리고 운전에 필요한 정보 등의 물리적인 특성 및 생산품의 성능을 일관성 있게 유지하며, 이를 확립하기 위한 관리의 한 부분이다. 최근 형상관리 개념이 조직의 구성과 프로젝트 변경관리를 통한 가치의 창출, 리스크에 의한 가치 보전, 변경관리의 사업관리 분야 적용 등 여러 가지로 형태로 정의되고 있음에도 불구하고, 점차 정립이 진행되어가고 있다. CM은 기본적으로 기록과 프로젝트 성능에 대하여 프로젝트의 범위와 시간, 비용을 만족하도록 제공하고 있다. 해외의 세계적인 기업들은 이미 형상관리 시스템을 도입하여 적용하고 있으며, 그로 인한 효과를 보고 있다. 또한 형상관리는 모든 프로젝트에 대하여 전망과 통찰력을 제공한다. 본 연구는 현재 현장에서 사용 중인 시스템을 검토하고 효율적으로 개선할 수 있도록 현재 이슈가 되고 있는 형상관리의 소개와 적용을 연구하였다. 또한 작업절차에 대한 관련 시스템의 구성과 변경관리 및 형상관리의 방법을 보다 효율적인 프로세스 개선방안을 제시하였다. 마지막으로 이 과정에서 가상 프로젝트에 대한 시나리오를 작성하여 시뮬레이션을 통해 결과를 분석함으로서 본 연구의 실용가능성을 검토하였다.

사례연구 분석을 통한 발주방식별 성과비교 (Project Performance Comparison Based on Different Types of Project Delivery System)

  • 이수경;정영수
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2011년도 춘계 학술논문 발표대회 1부
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    • pp.207-209
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    • 2011
  • Numerous reports show that alternative project delivery systems (PDSs) such as design-build (DB), construction management at risk (CMR), and design-build-maintain (DBM) are increasingly used in many countries. This study compared characteristics of each PDS (design-bid-build (DBB), DB, CMR, or DBM) by analyzing quantitative data from 9 research articles. In order to compare characteristics between DBB and alternative PDSs, the study is based on principal 3 factors - Time, Cost, and Quality. DB shows the best performance in the time part and also the cost performance depending on facility type and project size. The performance of quality has minor difference among different PDSs. These results support the fact that using an appropriate PDS by the characteristic of a project makes high value of efficiency and productivity.

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