• Title/Summary/Keyword: Treatment plan

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Introduction of the Basin Sewerage Plan in Japan through Case Studies of the Lake Biwa Sewerage System (비와호 유역하수도 사례분석을 통한 일본 유역하수도계획의 소개)

  • Han, Mideok;Park, Bae Kyung;Park, Ji Hyoung;Kim, Yong Seok;Rhew, Doug Hee
    • Journal of Korean Society of Environmental Engineers
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    • v.37 no.9
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    • pp.533-541
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    • 2015
  • We investigate the Japan's Master Plan of Comprehensive Sewerage System (JMPS) and Lake Biwa basin sewerage and suggest future development direction of the Watershed Sewerage System Maintenance Plan in Korea enforced on February 2, 2013. The JMPS is designed for compliance with the environmental standard for water quality under the Environmental Policy Act. The effluent standards applied in the master plan of Lake Biwa's Sewerage Plan for the Lake Biwa is tougher than the national standards. Therefore the Lake Biwa Baisn Sewerage System was the first in Japan to adopt facilities that perform advanced treatment for nitrogen and phosphorus removal. BOD, SS, T-N and T-P concentrations of discharge water of sewage are 0.9, 0.6, 5.5, 0.06 mg/L, respectively. Especially removal efficiency for BOD is 99.5 percent. It is necessary to study the diversification of the evaluation criteria, cost minimization approach, subsidy system improvement, economic concept of discharge load adjustment system and establishment of basin sewerage concept for the development of the basin sewerage plan in Korea.

Evaluation of Usefulness on In-vivo Diode Dosimetry for Measuring the Tumor Dose of Oral Cancer Patient (구강암 환자의 종양 선량 측정을 위한 In-vivo Diode Dosimetry의 유용성 평가)

  • Na Kyung-Su;Lee Je-Hee;Park Heung-Deuk
    • The Journal of Korean Society for Radiation Therapy
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    • v.17 no.2
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    • pp.133-140
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    • 2005
  • Purpose : This test is designed to identify the validity of treatment plan by implementing real-time dosimetry by means of dose that is absorbed into PTV and OAR when preparing doses of 3D and POP plans. Materials and Methods : In treatment. error can be calculated be comparing Exp. Dose with the actual dose, which has been converted from 'the reading value obtained by placing diode detector on the area to be measured'. Same test can be repeated using Alderson-Rando phantom. Results : Errors were found: A patient(POP plan): 197.6/199=-1.2%, B patient(3D-plan): 199.9/198.7=+0.6%, C patient: 196/200=-1.5%. In addition, considering the resulted value of measuring OAR besides target-dose for C patient showed 96/200, representing does of 47%, the purpose of protection was judged to be duly accomplished. Also it was acknowledged the resulted value of -3.7% met the targeted dose within the range of ${\pm}5%$. Conclusion : Aimed for identifying the usefulness of pre-treatment dose measurement using diode detector, this test was useful to evaluate the validity of curing because it resulted in the identification of category to be protected as well as t dose. Moreover, it is thought to have great advantage in ascertaining the dose of target, dose of which is not calculated yet. Similar to L-gram before treatment, this test is thought to be very effective so that it can bring great advantages in the aspects such as validity of curing method and post-treatment plan as well.

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Usability Assessment of Plan Transfer between TOMO HAD and Radixact : Planning Study (TOMO HDA와 Radixact 치료 계획 간 Transfer에 대한 유용성 평가 : Planning Study)

  • An, Ye Chan;Kim, Jong Sik;Kwon, Dong Yeol;Kim, Jin Man;Choi, Byeong Ki
    • The Journal of Korean Society for Radiation Therapy
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    • v.30 no.1_2
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    • pp.117-128
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    • 2018
  • Purpose : To evaluate the usability of plan transfer between TOMO HD and Radixact, we compared the differences of dose in transferred plans by evaluating the dose of normal organ and target. TOMO HDA and Radixact. The completed plans were transferred each other and we compared the differences of dose by evaluating the DVH of each plans. Materials and Methods : We planned 4 different plans assuming the treatment of 2 cases in Head and Neck Cancer and 2 cases Prostate cancer. Each plan was designed so that 95 % of the prescription dose was irradiated over 99 % of the target volume, and the normal organ constraints dose was based on the SMC tolerance dose protocol. Each plan was transferred to each equipment and DVH(dose volume histogram) analysis of the transferred plans was compared and evaluated. Results : The Mean dose of CTV and GTV was increased and decreased in the transferred plans, but there was no significant differences. The target coverage of CTV and GTV was decreased in all cases of transferred plans from TOMO HAD to Radixact, and the change of CI and HI in CTV was within 0.1. Normal organ dose was increased in most cases when transferring from HAD to Radixact in both treatment plans. Conclusion : According to the results of this experiment, the target coverage was above the standard and the normal organ dose was almost same or decreased when transferring the plans from Radixact to HDA equipment. However the target coverage was reduced when transferring the plans from HDA to Radixact and there was an increase in dose in normal organs that could cause sever side effects such as Optic Chiasm ($D_{max}$1.38 Gy), Bladder ($D_{max}$3.07 Gy), Penile Bulb ($D_{max}$1.14 Gy). Therefore, it is necessary to pay attention to the dose change when transferring the plan and one-time transfer due to equipment inspection will be useful for efficient radiation therapy, but if the transferred treatment plans continue for several consecutive days, the treatment plan should be resumed.

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Strategy to Overcome Drug Resistance That Develops during Treatment of Chronic Hepatitis B in Children

  • Hong, Suk Jin;Choe, Byung-Ho
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.15 no.2
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    • pp.63-73
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    • 2012
  • Development of antiviral resistance to lamivudine is the most important factor for the treatment failure. It is necessary to establish proper guidelines to overcome drug resistance for children with chronic hepatitis B. Primary treatment with lamivudine should be considered if patients are in immune-clearance phase and have persistently elevated ALT levels more than twice the upper limit of normal value. Before initiating the therapy, careful consideration of the patient's status is required to exclude abnormal liver function tests due to other causes. The treatment option should be carefully decided to suppress the viral replication effectively. To obtain good compliance, clinicians should educate patients and their parents. Appropriate monitoring for virologic breakthrough and genotypic resistance is important in deciding to change the treatment plan. Sequential monotherapy should be avoided and a combination of drugs in other categories is recommended. New antiviral agents, such as entecavir and tenofovir, which have high potency and high genetic barrier, are soon expected to be available for use with children.

Utilization of Deodorized Poultry Feces with Tolura sp. CH-30

  • Choi, Moo-Young;Lee, Eun
    • Journal of Microbiology and Biotechnology
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    • v.2 no.4
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    • pp.273-277
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    • 1992
  • Treatment of poultry feces with Tolura sp. CH-30 produced a material that was significantly deodorized and showed a promotive effect on plant growth. Tolura sp. CH-30 grew on the poultry feces, deodorizing the feces by assimilation of volatile fatty acids, which are the source of the offensive odor, as a carbon source. Significant degradation of uric acid also occurred. In the treatment of feces with Tolura sp. CH-30, it was possible to deodorize feces in a short time, but reduction in the amount of urate-N was not enough. Urate-N inhibited plant growth due to an excessive nitrogen content produced as a result of rapid decomposition. Therefore, we propose a recycle-treatment plan using poultry feces treated with Tolura sp. CH-30. After the recycle-treatment, the amount of urate-N contained in the recycle-treated poultry feces was small and the recycle-treated poultry feces showed a promotive effect on plant growth when it was added at a nitrogen content of 1.6 g/600 g soil/pot.

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A Case of Chronic Sinusitis Patient Improved by Yangdokbackho-tang (양독백호탕(陽毒白虎湯)으로 치료한 만성 부비동염 치험 1례)

  • Lee, Hyeon-Min;Park, Seong-Ha
    • Journal of Sasang Constitutional Medicine
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    • v.19 no.3
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    • pp.283-292
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    • 2007
  • 1. Objectives This study evaluates the effect of oriental medical treatment on a chronic sinusitis patient. 2. Methods The patient was teated with acupuncture, nasal cavity irrigation, and Yangdokbackho-tang(陽毒白虎湯). Previous western medical methods were excluded in order to provide therapeutic methods different from pre-existing ones because we needed different, long-term treatment plan from previous treatment. We applied acupuncture 15 times during treatment period and instructed the patient to carry out nasal cavity irrigation at home. 3. Results & Conclusions Combined application of oriental treatment including administration of Yangdokbackho-tang and nasal irrigation showed remarkable clinical effects on symptom, physical examination and radiological finding.

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Case of Effective Treatment using Glucagon-Like Peptide-1 Receptor Agonist in Patient with Obesity and Non-Alcoholic Fatty Liver Disease (비알코올지방간질환을 동반한 비만 환자에서 Glucagon-Like Peptide-1 수용체작용제를 이용한 효과적인 치료 증례)

  • Tae Sic Lee
    • Archives of Obesity and Metabolism
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    • v.2 no.2
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    • pp.71-75
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    • 2023
  • Obesity is closely related to chronic diseases and cancer. The present case report aims to discuss the anti-obesity treatment strategy and the evaluation of the clinical progress in a patient with obesity and concurrent fatty liver disease. Following five months of treatment with liraglutide and rosuvastatin, the patient had a weight reduction of 3 kg (4.7%), a decrease in fasting blood sugar by 42 mg/dl (26.6%), a decrease in low-density lipoprotein cholesterol by 82 mg/dl (60.2%), and decrease in alanine transaminase. This case report documented the treatment of a patient with common chronic diseases encountered in the outpatient setting. Based on the therapeutic effects documented in clinical and laboratory indices, the anti-obesity treatment plan significantly aided in managing chronic diseases.

Ecological Restoration Plan for a Small Scale Public Construction Area - A Case Study on Ilsan Water Treatment Plant, Goyang-Si - (소규모 공공시설 개발 사업지의 생태적 복원 연구 - 고양시 일산정수장 조성예정지를 사례로 -)

  • Lee, soo-Dong;Kang, Hyun-Kyung
    • Journal of the Korean Institute of Landscape Architecture
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    • v.35 no.6
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    • pp.48-63
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    • 2008
  • This research is to apply suitable natural ecosystem evaluation criteria in order to develop the ecosystem conservation, restoration and ways to build substitute habitats as a compensation plan for damaged soundly natural ecosystems in small-scale projects such as resource recovery facility, filtration, etc. The environmental ecology evaluation i.e. generally based on their actual vegetation, community structure, wildlife, water system survey were measured the primary plans for reflecting unique natural environment level of site. As a result, it is necessary to conserve the land in fallow type of wetland, good conservative condition of deciduous forest, wetlanded watercourse for amphibia and reptiles crossing. However, the plan of filtration plant was destroyed wetland(sound ecosystem), natural forest, asian toad spawning area. According to the result of it schemed to build alternative wetland and spawning area, plan to healthy ecosystem and surface soil transplantation as compensation plan. The alternative wetland and spawning area are not only created a various water levels like depth of water is $0{\sim}30cm,\;30{\sim}60cm$, more than 1.5m but also it leads to asian toad spawning and wildlife inhabitant. Moreover, the ecosystem and surface soil transplantation be applied to use the Quercus acutissima forest resources(114 upper trees, 71 canopy trees, 401 shrubs) and surface soil$(5,072m^3)$ in ecology creation sets.

A study on Assessment Methodology for Best Treatment Technologies at Public Sewage Treatment Works in Korea (하수처리시설에서 최적처리기술 평가 방법론 고찰 - 미국과 유럽의 사례를 중심으로 -)

  • Jeong, Dong-Hwan;Cho, Yangseok;Choi, In-Cheol;Ahn, Kyunghee;Chung, Hyen-Mi;Kwon, Ohsang
    • Journal of Environmental Impact Assessment
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    • v.24 no.4
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    • pp.386-395
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    • 2015
  • In order to assess sewage treatment technology necessary to achieve water quality criteria in the watershed and to ensure best treatment technology is applied in building and expanding PSTWs when establishing the Watershed Sewer System Maintenance Plan, it is necessary to develop assessment guidelines to determinate the best treatment technologies applicable to the public sewage treatment works(PSTWs). Sewage treatment technologies such as anaerobic-anoxic-aerobic treatment process are employed at PSTWs, and treatment efficiency varies due to many factors such as how the PSTWs are operated. Therefore, analyzing assessment guideline of best available technology(BAT) using currently in USA and EU, this study presents assessment parameters for the assessment guidelines to be used in determining the best treatment technologies applicable to PSTWs. We have a plan to implement pilot assessment in preparation for the final assessment guidelines based on the results of professionals survey and to determine weighted factors and assessment parameters using analytic hierarchy process (AHP).

The Study on Hypertension Cure Rate Management Centering around Wellness Local Community : With GwangJu as a Central Figure (웰니스 지역사회 중심의 고혈압 치료율 관리 방안에 관한 연구 : 광주광역시 중심으로)

  • Yang, Yu-Jeong;Park, Jong-Ho
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.8
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    • pp.351-361
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    • 2021
  • This study was conducted to identify the factors of hypertension treatment in Gwangju and to establish a hypertension cure rate management plan by using local community health surveys to provide the hypertension cure rate management plan centering around the wellness local community. The research collected 13,714 Gwangju research data among a total of 685,820 local community health surveys of KDCA (Korea Disease Control and Prevention Agency) from 2017 to 2019. Among the data, 2,941 subjects, those with diagnosed hypertension aged over 30, were selected and analyzed through SAS 9.4, SAS Enterprise Miner 15.1. The results are as follows. The differences in hypertension diagnosis cure rate in Gwangju based on the subjects' socioeconomic characteristics were shown in gender, age, marital status, level of educational attainment, economic activity status, and monthly income. The significant differences in hypertension cure rate based on health behavior characteristics were shown in current smoking, monthly alcohol consumption, high-risk drinking, breakfast, recognition of good health level, diabetes and treatment, annual unmet medical needs, and annual health center use. As a result of the logistic regression analysis and interactive decision tree analysis to identify the factors affecting hypertension treatment, the research found that the factors that appear are age, marital status, diabetes and treatment, and annual unmet medical needs. Accordingly, to increase the recognition of the importance of hypertension treatment to people of young ages and not to develop complications, public health-educational effort in Gwangju is needed with an effective preparation plan.