• 한국농림기상학회지
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• 제8권4호
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• pp.229-241
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• 2006

본 연구에서는 실측 일기상자료 대신 예측 기후평년 값을 적용하여 기후변화와 그에 상응한 벼 작황의 지리적 분포양상을 복원함으로써 지구온난화에 따른 우리나라 벼농사지대의 생산성을 재평가하였다. 기상청 56개 지점 종관자료(일 최고/최저 기온의 월별 평균값)를 1971-2000년 30년 단위로 수집하여 270m 해상도의 수치기후도를 작성하고, 벼논픽셀에 해당되는 기후자료를 추출하였다. 동일한 시군에 속하는 벼논픽셀의 기후자료를 평균함으로써 시군단위의 '벼논맞춤형 기후자료'를 준비하였다. 같은 방법으로 기상연구소에서 제작한 2011-2100년 기간의 3개 평년(2011-2040, 2041-2070, 2071-2100) 기후시나리오에 근거하여 해당 평년의 기후자료를 추정하였다. 농촌진흥청의 정밀토양도로부터 해당 픽셀의 토성과 토심정보를 검색하고 이를 토대로 유효수분 조견표에 의해 토양자료를 준비하였다. 자포니카형 벼의 특성을 갖도록 개조한 벼 생육모형(CERES-Japonica)에 이들 자료를 입력하고 조생종(오대벼), 중생종 (화성벼), 만생종 (동진벼)의 생육을 모의하였다. 시군 공간평균을 기준으로 3품종 모두 가까운 미래(2011-2040년)에는 출수기가 일주일 정도 빨라지고, 먼 미래(2071-2100년)에는 최대 20일 까지 단축될 수 있다. 생리적 성숙기는 3품종 모두 가까운 미래(2011-2040년)에는 15일 정도 단축되고, 먼 미래(2071-2100년)에는 최대 한달까지도 빨라질 수 있어 출수기에 비해 단축정도가 심하다. 평야지 수량의 경우 조생종인 오대벼는 10a당 6-25%, 중생종 화성벼는 3-26%, 만생종 동진벼는 3-25%까지 감소하였다. 하지만 산간지역에서는 발육속도가 빨라지고 수량이 증가하거나 큰 변화가 없는 곳도 많아 온난화조건에서도 지역별 정밀기후 추정과 이에 근거한 최적품종의 선택, 이앙기 및 수확기 등 생육기간의 조절이 온난화 대응기술로서 유효할 것으로 기대된다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권6호
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• pp.2465-2472
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• 2014

Background: The American Joint Committee on Cancer (AJCC) published a new staging system ($7^{th}$ edition) in 2009. In our study, we evaluated the survival results and prognostic factors among T4 local advanced non-small cell lung cancer (LA-NSCLC) patients in a large heterogeneous group, in accordance with this new system. Materials and Methods: We retrospectively evaluated the files of 122 T4 N0-3 M0 LA-NSCLC patients, identified according to the new staging system, treated at two centers between November 2003 and June 2012. Variables correlating with univariate survival at p<0.20 were later included in multivariate Cox regression analysis. Here, selection of relevant predictors of survival was carried out in accordance with the likelihood ratio formula with p<0.05 regarded as significant. Results: The median age was 60 and the median follow-up period was 17.4 months. Median overall survival (OS) was 18.3 months, the 1 year overall survival (OS) rate was 72%, and the 5 year OS rate was 28%. Statistically significant predictors of survival were (p<0.20) ECOG-PS (Eastern Cooperative Oncology Group Performance Status), age, T4 factor subgroup, stage and primary treatment in OS univariate analysis. On multivariate analysis for OS ECOG-PS (p=0.001), diagnostic stage (p=0.021), and primary treatment (p=0.004) were significant. In the group receiving non-curative treatment, the median OS was 11.0 months, while it was 19.0 months in the definitive RT group and 26.6 months in the curative treatment group. There was a significant difference between the non-curative group and the groups which had definitive RT and curative operations (respectively p<0.001 and p=0.001) in terms of OS, but not between the groups which had definitive RT and curative operations. The median event free survival (EFS) rate was 9.9 months, with rates of 46% and 19% at 3 and 5 years, respectively. On univariate analysis of EFS rate with ECOG-PS, weight loss and staging, statistical significance was found only for thorax computerized tomography (CT)+18F-fluorodeoxy-glucose positron emission tomography-CT (PET-CT) use, stage and primary treatment (p<0.20). In multivariate analysis with EFS, only the primary treatment was statistically significant (p=0.001). In the group receiving non-curative treatment, the median EFS was 10.5 months while in the curative operation group it was 14.7 months. When all the primary treatment groups were taken into consideration, grade III/IV side effect swas observed in 57 patients (46.6%). Esophagitis was most prominent among those that received definitive radiotherapy. Conclusions: Independent prognostic factors among these 122 heterogeneous LA-NSCLC T4 N0-3 M0 patients were age at diagnosis, ECOG-PS, stage and primary treatment, the last also being a significant prognostic indicator of EFS. Our findings point to the importance of appropriate staging and a multidisciplinary approach with modern imaging methods in this patient group. In those with T4 lesions, treatment selection and the effective use of curative potential should be the most important goal of clinical care.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1992년도 춘계학술대회
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• pp.27-47
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• 1992

Engineers have developed new instruments that aid in diagnosis and therapy Ultrasonic imaging has provided a nondamaging method of imaging internal organs. A complex transducer emits ultrasonic waves at many angles and reconstructs a map of internal anatomy and also velocities of blood in vessels. Fast computed tomography permits reconstruction of the 3-dimensional anatomy and perfusion of the heart at 20-Hz rates. Positron emission tomography uses certain isotopes that produce positrons that react with electrons to simultaneously emit two gamma rays in opposite directions. It locates the region of origin by using a ring of discrete scintillation detectors, each in electronic coincidence with an opposing detector. In magnetic resonance imaging, the patient is placed in a very strong magnetic field. The precessing of the hydrogen atoms is perturbed by an interrogating field to yield two-dimensional images of soft tissue having exceptional clarity. As an alternative to radiology image processing, film archiving, and retrieval, picture archiving and communication systems (PACS) are being implemented. Images from computed radiography, magnetic resonance imaging (MRI), nuclear medicine, and ultrasound are digitized, transmitted, and stored in computers for retrieval at distributed work stations. In electrical impedance tomography, electrodes are placed around the thorax. 50-kHz current is injected between two electrodes and voltages are measured on all other electrodes. A computer processes the data to yield an image of the resistivity of a 2-dimensional slice of the thorax. During fetal monitoring, a corkscrew electrode is screwed into the fetal scalp to measure the fetal electrocardiogram. Correlations with uterine contractions yield information on the status of the fetus during delivery To measure cardiac output by thermodilution, cold saline is injected into the right atrium. A thermistor in the right pulmonary artery yields temperature measurements, from which we can calculate cardiac output. In impedance cardiography, we measure the changes in electrical impedance as the heart ejects blood into the arteries. Motion artifacts are large, so signal averaging is useful during monitoring. An intraarterial blood gas monitoring system permits monitoring in real time. Light is sent down optical fibers inserted into the radial artery, where it is absorbed by dyes, which reemit the light at a different wavelength. The emitted light travels up optical fibers where an external instrument determines O2, CO2, and pH. Therapeutic devices include the electrosurgical unit. A high-frequency electric arc is drawn between the knife and the tissue. The arc cuts and the heat coagulates, thus preventing blood loss. Hyperthermia has demonstrated antitumor effects in patients in whom all conventional modes of therapy have failed. Methods of raising tumor temperature include focused ultrasound, radio-frequency power through needles, or microwaves. When the heart stops pumping, we use the defibrillator to restore normal pumping. A brief, high-current pulse through the heart synchronizes all cardiac fibers to restore normal rhythm. When the cardiac rhythm is too slow, we implant the cardiac pacemaker. An electrode within the heart stimulates the cardiac muscle to contract at the normal rate. When the cardiac valves are narrowed or leak, we implant an artificial valve. Silicone rubber and Teflon are used for biocompatibility. Artificial hearts powered by pneumatic hoses have been implanted in humans. However, the quality of life gradually degrades, and death ensues. When kidney stones develop, lithotripsy is used. A spark creates a pressure wave, which is focused on the stone and fragments it. The pieces pass out normally. When kidneys fail, the blood is cleansed during hemodialysis. Urea passes through a porous membrane to a dialysate bath to lower its concentration in the blood. The blind are able to read by scanning the Optacon with their fingertips. A camera scans letters and converts them to an array of vibrating pins. The deaf are able to hear using a cochlear implant. A microphone detects sound and divides it into frequency bands. 22 electrodes within the cochlea stimulate the acoustic the acoustic nerve to provide sound patterns. For those who have lost muscle function in the limbs, researchers are implanting electrodes to stimulate the muscle. Sensors in the legs and arms feed back signals to a computer that coordinates the stimulators to provide limb motion. For those with high spinal cord injury, a puff and sip switch can control a computer and permit the disabled person operate the computer and communicate with the outside world.

• 한국방사선학회논문지
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• 제14권4호
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• pp.467-475
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• 2020

본 연구는 PET 검사 중 방사성의약품인 ¹⁸F-FDG에 대한 선량을 평가하여 환자와 보호자의 방사선에 대한 불안감을 완화하고, 의료기관 인력 및 공간 확보 문제, 건강검진으로 인한 무분별한 검사 진행을 최소화하는 데 그 목적이 있다. 선량평가는 방사선조직가중치 중 높은 조직 세 부위인 경부(갑상선), 흉부(심장), 하복부(생식선) 위치에 열형광선량계(TLD)와 전자개인선량계(EPD)를 이용하여 측정하였다. 또한, GM 계수기와 전리함을 이용하여 공간선량률과 소변에서의 방사능을 측정하였다. 그 결과는 다음과 같다. 첫째, 개인선량계인 TLD는 경부에서 0.0425±0.0277 mSv, 흉부에서 0.0485±0.0386 mSv, 하복부에서 0.0485±0.0436 mSv 측정되었고 방사선 민감도에 따른 심부선량 차이는 거의 없었다. EPD는 경부 위치에서 직후 0.942±0.141 mSv/h, 120분 후 0.192±0.031 mSv/h로 측정되었다. 흉부 위치에서 직후 0.516±0.085 mSv/h, 120분 후 0.128±0.040 mSv/h로 측정되었다. 하복부 위치에서 직후 0.468±0.091 mSv/h, 120분 후 0.105±0.021 mSv/h로 측정되었다. GM 계수기에서 공간선량률은 직후 0.041±0.005 mSv/h, 120분 후 0.014±0.002 mSv/h로 측정되었다. 전리함을 이용한 소변 내 방사능은 60분 후 0.113±0.24 MBq/cc, 120분 후 0.063±0.13 MBq/cc로 측정되었다. 이러한 결과로 볼 때 ¹⁸F-FDG를 투여하고 PET 검사가 끝나는 2시간 후 선량 재평가를 하고 귀가 시점을 정하도록 해야 하며 보호자와의 접촉도 피해야 한다. 또한, 환자와 보호자에게 충분한 설명과 함께 피폭선량 예상 값을 제공하여 무분별한 검사를 지양해야 하도록 할 필요가 있을 것으로 판단된다. 본 연구에서 실측 실험한 데이터를 통해 환자와 가족들이 방사선에 대한 불안감을 해소하기를 바라며, 방사선 종사자의 피폭관리 시스템과 제도적 개선을 통해 의료방사선 발전에 힘이 되리라 기대한다.

• 한국대기환경학회지
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• 제34권1호
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• pp.16-37
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• 2018

In this study, difference in chemical composition of $PM_{2.5}$ observed between the year 2013 and 2015 at six air quality intensive monitoring stations (Bangryenogdo (BR), Seoul (SL), Daejeon (DJ), Gwangju (GJ), Ulsan (US), and Jeju (JJ)) was investigated and the possible factors causing their difference were also discussed. $PM_{2.5}$, organic and elemental carbon (OC and EC), and water-soluble ionic species concentrations were observed on a hourly basis in the six stations. The difference in chemical composition by regions was examined based on emissions of gaseous criteria pollutants (CO, $SO_2$, and $NO_2$), meteorological parameters (wind speed, temperature, and relative humidity), and origins and transport pathways of air masses. For the years 2013 and 2014, annual average $PM_{2.5}$ was in the order of SL ($${\sim_=}DJ$$)>GJ>BR>US>JJ, but the highest concentration in 2015 was found at DJ, following by GJ ($${\sim_=}SJ$$)>BR>US>JJ. Similar patterns were found in $SO{_4}^{2-}$, $NO_3{^-}$, and $NH_4{^+}$. Lower $PM_{2.5}$ at SL than at DJ and GJ was resulted from low concentrations of secondary ionic species. Annual average concentrations of OC and EC by regions had no big difference among the years, but their patterns were distinct from the $PM_{2.5}$, $SO{_4}^{2-}$, $NO_3{^-}$, and $NH_4{^+}$ concentrations by regions. 4-day air mass backward trajectory calculations indicated that in the event of daily average $PM_{2.5}$ exceeding the monthly average values, >70% of the air masses reaching the all stations were coming from northeastern Chinese polluted regions, indicating the long-range transportation (LTP) was an important contributor to $PM_{2.5}$ and its chemical composition at the stations. Lower concentrations of secondary ionic species and $PM_{2.5}$ at SL in 2015 than those at DJ and GJ sites were due to the decrease in impact by LTP from polluted Chinese regions, rather than the difference in local emissions of criteria gas pollutants ($SO_2$, $NO_2$, and $NH_3$) among the SL, DJ, and GJ sites. The difference in annual average $SO{_4}^{2-}$ by regions was resulted from combination of the difference in local $SO_2$ emissions and chemical conversion of $SO_2$ to $SO{_4}^{2-}$, and LTP from China. However, the $SO{_4}^{2-}$ at the sites were more influenced by LTP than the formation by chemical transformation of locally emitted $SO_2$. The $NO_3{^-}$ increase was closely associated with the increase in local emissions of nitrogen oxides at four urban sites except for the BR and JJ, as well as the LTP with a small contribution. Among the meterological parameters (wind speed, temperature, and relative humidity), the ambient temperature was most important factor to control the variation of $PM_{2.5}$ and its major chemical components concentrations. In other words, as the average temperature increases, the $PM_{2.5}$, OC, EC, and $NO_3{^-}$ concentrations showed a decreasing tendency, especially with a prominent feature in $NO_3{^-}$. Results from a case study that examined the $PM_{2.5}$ and its major chemical data observed between February 19 and March 2, 2014 at the all stations suggest that ambient $SO{_4}^{2-}$ and $NO_3{^-}$ concentrations are not necessarily proportional to the concentrations of their precursor emissions because the rates at which they form and their gas/particle partitioning may be controlled by factors (e.g., long range transportation) other than the concentration of the precursor gases.

• Journal of Animal Science and Technology
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• 제46권2호
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• pp.283-294
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• 2004

본 연구는 환기 방식 및 교반 유무에 따른 축분 퇴비화 시스템 내 대기 및 작업 환경을 평가하기 위해 수행되었다. 측정대상 가스상 물질인 암모니아, 황화수소, 악취농도의 경우 자연환기-미교반시 2.45ppm, 19.96ppb, 15.8, 강제환기-미교반시 7.61ppmm 31.36ppb, 30.2, 자연환기-교반시5.50ppm, 14.69ppb, 46.4, 강제교화기- 교반시 30.12ppm, 39.91ppb, 205.5가 평균적으로 발생되는 것으로 분석되었다. 각 운용조건에 따른 흡입성 분진과 호흡성 분진의 평균 농도는 자연환기-미교반시 368.6${\mu}g$/$m^3$,96.0${\mu}g$/$m^3$, 강제화기-미교반시 283.9${\mu}g$/$m^3$, 119.5${\mu}g$/$m^3$, 자연환기-교반시 208.7${\mu}g$/$m^3$, 139.8${\mu}g$/$m^3$, 강제환기-교반시 209.2${\mu}g$/$m^3$, 131.7${\mu}g$/$m^3$인 것으로 조사되었다. 총 부유 박테리아와 곰팡이의 경우 자연환기-미교반시 28,673cfu/$m^3$, 22,507cfu/$m^3$, 강제환기-미교반시 7,462cfu/$m^3$,3,229cfu/$m^3$, 자연환기-교반시 19,592cfu/$m^3$, 26,376.29cfu/$m^3$, 강제환기-교반시 18,645cfu/$m^3$, 24,581cfu/$m^3$가 평균적으로 발생되는 것으로 분석되었다. 대체로 가스상 물질은 자연환기와 교반을 하지 않는 경우보다 강제환기와 교반을 하는 경우에 더 많이 발생되는 경향을 보였다. 또한 흡입성 분진과 총 부유박테리아의 경우, 자연환기-미교반시에 대체로 더 높게 발생된 반면, 호흡성 분진과 총 부유곰팡이의 경우 강제환기-교반시에 더 많이 발생되는 경향을 보였다. 내부 온도와 상대습도는 입자상 물질과 생물학상 오염물질 발생에 영향을 주는 것으로 분석되었고, 암모니아와 황화수소는 축분 퇴비화시 발생되는 악취 원인물질로 입증되었다. 물리적 요인인 온도와 상대습도는 축분 퇴비화 시스템내에서 주로 입자상 오염물질과 생물학상 오염물질의 발생량에 영향을 미치는 주요인자로 입증되었는데, 시스템 내부 온도와 상대습도가 높으면 이것들의 농도도 높아지는 것으로 분석되었다.