• 제목/요약/키워드: Treatment plan

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용배수로의 환경친화적 정비기법 (Environment-Friendly Development System of Irrigation ditch and Drainage canal)

  • 김채수;엄대호;한경수;전택기;김선주;최경영
    • 한국농공학회:학술대회논문집
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    • 한국농공학회 2003년도 학술발표논문집
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    • pp.107-110
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    • 2003
  • In this article we developed the environment-friendly arrangement system of drainage and irrigation canal. It is divided into the model which considers ecological conservation type, irrigation flood control type and hydrophilic type. In canal plan and design we will consider vertical section and intersection plan, water quality management, waterside environment construction plan, canal terminal treatment, canal bottom plan, etc. Consequently, We propose the detail contents which must be considered when we plan the environmental canal space.

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Late development of a mandibular second premolar

  • Bicakci, Ali Altug;Doruk, Cenk;Babacan, Hasan
    • 대한치과교정학회지
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    • 제42권2호
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    • pp.94-98
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    • 2012
  • In this report, we present the case of a girl with delayed odontogenesis of a lower second premolar for which she was followed up for 8.5 years. Congenital absence of permanent mandibular second premolars was observed at the initial radiographic examination at 8 years and 1 month. One year later, during the treatment period, an unexpected odontogenesis of a right second premolar was diagnosed on follow-up radiography. The original treatment plan was revised and a new plan was successfully implemented. This unusual case showed that the orthodontist's clinical philosophy must be flexible because unexpected situations can arise, especially when treating growing patients.

폐콘크리트의 활용 촉진 방안 (A Study on the Promotion Plan of Recycled Concrete)

  • 조영준;박대인
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2005년도 추계 학술논문 발표대회
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    • pp.21-24
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    • 2005
  • A by-product of construction can be easily reused through properly treatment. On the contrary, the level of technique to reuse the by-product is not so high. Especially, the bulky of trash concrete is huge. The demand and treatment cost of them is on the increase. So, the riffle effect of the recycle of the trash concrete cannot be bypassed. But the research on the recycle of them is few. Therefore, the reuse of recycled concrete, the treatment of them, and the promotion plan of them were suggested in this study

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Feasibility of Shrinking Field Radiation Therapy through 18F-FDG PET/CT after 40 Gy for Stage III Non-Small Cell Lung Cancers

  • Ding, Xiu-Ping;Zhang, Jian;Li, Bao-Sheng;Li, Hong-Sheng;Wang, Zhong-Tang;Yi, Yan;Sun, Hong-Fu;Wang, Dong-Qing
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권1호
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    • pp.319-323
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    • 2012
  • Objective: To explore the feasibility of shrinking field technique after 40 Gy radiation through 18F-FDG PET/CT during treatment for patients with stage III non-small cell lung cancer (NSCLC). Methods: In 66 consecutive patients with local-advanced NSCLC, 18F-FDG PET/CT scanning was performed prior to treatment and repeated after 40 Gy. Conventionally fractionated IMRT or CRT plans to a median total dose of 66Gy (range, 60-78Gy) were generated. The target volumes were delineated in composite images of CT and PET. Plan 1 was designed for 40 Gy to the initial planning target volume (PTV) with a subsequent 20-28 Gy-boost to the shrunken PTV. Plan 2 was delivering the same dose to the initial PTV without shrinking field. Accumulated doses of normal tissues were calculated using deformable image registration during the treatment course. Results: The median GTV and PTV reduction were 35% and 30% after 40 Gy treatment. Target volume reduction was correlated with chemotherapy and sex. In plan 2, delivering the same dose to the initial PTV could have only been achieved in 10 (15.2%) patients. Significant differences (p<0.05) were observed regarding doses to the lung, spinal cord, esophagus and heart. Conclusions: Radiotherapy adaptive to tumor shrinkage determined by repeated 18F-FDG PET/CT after 40 Gy during treatment course might be feasible to spare more normal tissues, and has the potential to allow dose escalation and increased local control.

Minimization of Treatment Time Using Partial-Arc Volumetric Modulated Arc Therapy with Bladder Filling Protocol for Prostate Cancer

  • Hojeong Lee;Dong Woon Kim;Ji Hyeon Joo;Yongkan Ki;Wontaek Kim;Dahl Park;Jiho Nam;Dong Hyeon Kim;Hosang Jeon
    • 한국의학물리학회지:의학물리
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    • 제33권4호
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    • pp.101-107
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    • 2022
  • Purpose: Radiotherapy after bladder filling protocol (BFP) is known to enhance treatment quality and reduce side effects in prostate cancer, a common male solid cancer globally. However, due to the need to hold back urine during treatment, patients frequently complain of discomfort, and treatment is frequently suspended when patients urinate during treatment and urine penetrates the treatment device, causing malfunction. Therefore, the effect of minimizing treatment time when partial-arc volumetric modulated arc therapy (VMAT) was used instead of full-arc was assessed in this study. Methods: A total of 70 plans were created in 10 patients using 7 different arc sizes, and the treatment time for each plan was calculated. Results: Reduced arc size by half resulted in a 54.4% decrease in mean treatment duration, with a proportional tendency observed. Furthermore, the effect of VMAT arc size reduction on target dose homogeneity was significantly limited, and the effect on surrounding organs at risk (OAR) was negligible. It should be noted, however, that when the arc size decreases by >40%, the dose increases in the area without OAR around the target. Conclusions: The results of this study demonstrated that partial-arc VMAT for enhancing treatment convenience and efficacy of prostate cancer patients undergoing BFP can achieve a considerable reduction in treatment time while preserving treatment quality, and it is expected to be useful for partial-arc VMAT plan design and implementation in practice.

쇄골 상부 림프절을 포함하는 왼쪽 유방암의 VMAT 치료계획시 X-Jaw split을 이용한 선량비교에 관한 연구 (Study on dose comparison using X-Jaw split in VMAT treatment planning for left breast cancer including supraclavicular lymph nodes.)

  • 김학준;이양훈;민제순
    • 대한방사선치료학회지
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    • 제33권
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    • pp.137-144
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    • 2021
  • 목 적 : VMAT을 이용한 쇄골 상부 림프절을 포함하는 왼쪽 유방암 치료 시 X-Jaw를 나눈 치료계획과 기존 Full field VMAT 치료계획과의 선량분포를 비교 분석하여 X-Jaw split VMAT의 유용성을 평가하였다. 대상 및 방법 : 쇄골 상부 림프절을 포함하는 왼쪽 유방암 환자 10명을 대상으로 Vacuum cushion을 이용하여 CT simulation 하고 2 Arc Full field VMAT과 4 Arc X-Jaw split VMAT을 각각 치료계획 하였다. 각 치료계획은 처방 선량(Prescription dose)이 치료계획표적용적(Planning Target Volume, PTV)의 95% 이상 포함이 되고 주변 정상장기(Organ at risk, OAR)에 최소한으로 조사되도록 설계하였다. 이후 선량체적용적(Dose volume histogram, DVH)을 통해 PTV과 OAR의 대한 선량분석을 하였다. 결 과 : 10명의 환자의 Full field VMAT치료계획과 X-Jaw split VMAT치료계획의 데이터를 평균값으로 나타내어 비교하였다. 처방선량지수(conformity index, CI) 1.05±0.04, 1.04±0.03, 선량균질지수(homogeneity index, HI) 1.07±0.008, 1.07±0.009 로 두 치료계획 간 차이는 크지 않았다. OAR의 경우 왼쪽 폐의 V5 56.1±6.50%, 50.4±6.30%, V20 20.0±4.15%, 13.52±3.61% 로 Full field VMAT대비 X-Jaw split VMAT에서 V5이 10.0% V20은 32.6% 감소하였다. 심장의 V30은 3.68±1.85%, 2.23±1.52%, 평균 선량은 8.93±1.65 Gy, 7.67±1.52 Gy로 X-Jaw split VMAT에서 V30은 39.3%, 선량은 14.1% 감소하였다. 정상조직인 왼쪽 폐와 심장은 통계적 유의 수치인 p-value 0.05미만으로 나타났다. 결 론 : PTV의 체적이 크고 X Jaw의 길이가 15 cm 이상이 되는 쇄골 상부 림프절을 포함하는 왼쪽 유방암치료의 경우 X-Jaw split VMAT 치료계획은 기존의 치료계획과 동등한 HI와 CI로 유사한 PTV coverage를 유지 하면서 개선된 선량분포를 나타내 OAR인 폐와 심장 등의 방사선량을 줄일 수 있어 부작용을 줄이는데 효과적이라고 생각된다.

우리나라 아파트 단지의 친환경계획 경향에 관한 연구 - 2000년대 수도권 지역 공공부문 아파트 단지를 중심으로 - (A Study on the Eco-friendly Planning Methods in Korean Apartment Houses - Focusing on the public sector housing in the Metropolitan Area in the 2000s -)

  • 김용국;서경욱
    • 한국실내디자인학회논문집
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    • 제22권4호
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    • pp.141-148
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    • 2013
  • This study aims to investigate the eco-friendly planning methods for a sustainable apartment houses in the Metropolitan area of Seoul. Eco-friendly plans that considers the environmental issues were attempted from the beginning of 2000s, and since then, many apartment houses in Korea were built using this concept. They were, however, generally focusing on the physical and spatial aspects of the site plan. After the Seoul C40 weather summit conference in 2009, the low carbon green housing standard has been emphasized and thus the chemical concept was added to the existing physical planning methods. Under such a background, this study intends to investigate the eco-friendly plans for the apartment houses in the 2000s. This includes an ecological network plan, an ecological base plan, a building greening plan, a water treatment plan, and an energy saving plan. Based on the analysis and synthesis of these planning methods in the early 21st century, it would be possible to set up a proper future plan to enhance the sustainable built environment in the housing industry in the coming years.

An External Dose Assessment of Worker during RadWaste Treatment Facility Decommissioning

  • Chae, San;Park, Seungkook;Park, Jinho;Min, Sujung;Kim, Jongjin;Lee, Jinwoo
    • Journal of Radiation Protection and Research
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    • 제45권2호
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    • pp.81-87
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    • 2020
  • Background: Kori unit #1 is permanently shut down after a 40-year lifetime. The Nuclear Safety and Security Commission recommends establishing initial decommissioning plans for all nuclear and radwaste treatment facilities. Therefore, the Korea Atomic Energy Research Institute (KAERI) must establish an initial and final decommissioning plan for radwaste-treatment facilities. Radiation safety assessment, which constitutes one chapter of the decommissioning plan, is important for establishing a decommissioning schedule, a strategy, and cost. It is also a critical issue for the government and public to understand. Materials and Methods: This study provides a method for assessing external radiation dose to workers during decommissioning. An external dose is calculated following each exposure scenario, decommissioning strategy, and working schedule. In this study, exposure dose is evaluated using the deterministic method. Physical characterization of the facility is obtained by both direct measurement and analysis of the drawings, and radiological characterization is analyzed using the annual report of KAERI, which measures the ambient dose every month. Results and Discussion: External doses are calculated at each stage of a decommissioning strategy and found to increase with each successive stage. The maximum external dose was evaluated to be 397.06 man-mSv when working in liquid-waste storage. To satisfy the regulations, working period and manpower must be managed. In this study, average and cumulative exposure doses were calculated for three cases, and the average exposure dose was found to be about 17 mSv/yr in all the cases. Conclusion: For the three cases presented, the average exposure dose is well below the annual maximum effective dose restriction imposed by the international and domestic regulations. Working period and manpower greatly affect the cost and entire decommissioning plan; hence, the chosen option must take account of these factors with due consideration of worker safety.

Treatment Plan Delivery Accuracy of the ViewRay System in Two-Headed Mode

  • Park, Jong Min;Park, So-Yeon;Wu, Hong-Gyun;Kim, Jung-in
    • 한국의학물리학회지:의학물리
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    • 제27권3호
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    • pp.169-174
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    • 2016
  • The aim of this study is to investigate the delivery accuracy of intensity-modulated radiation therapy (IMRT) plans in the two-headed mode of the ViewRay$^{TM}$ system in comparison with that of the normal operation treatment plan of the machine. For this study, a total of eight IMRT plans and corresponding verification plans were generated (four head and neck, two liver, and two prostate IMRT plans). The delivered dose distributions were measured using ArcCHECK$^{TM}$ with the insertion of an ionization chamber. We measured the delivered dose distributions in three-headed mode (normal operation of the machine), two-headed mode with head 1 disabled, two-headed mode with head 2 disabled, and two-headed mode with head 3 disabled. Therefore, a total of four measurements were performed for each IMRT plan. The global gamma passing rates (3%/3 mm) in three-headed mode, head 1 disabled, head 2 disabled, and head 3 disabled were $99.9{\pm}0.1%$, $99.8{\pm}0.3%$, $99.6{\pm}0.7%$, and $99.7{\pm}0.4%$, respectively. The difference in the gamma passing rates of the three- and two-headed modes was insignificant. With 2%/2 mm, the rates were $96.6{\pm}3.6%$, $97.2{\pm}3.5%$, $95.7{\pm}6.2%$, and $95.5{\pm}4.3%$, respectively. Between three-headed mode and head 3 disabled, a statistically significant difference was observed with a p-value of 0.02; however, the difference was minimal (1.1%). The chamber readings showed differences of approximately 1% between three- and two-headed modes, which were minimal. Therefore, the treatment plan delivery in the two-headed mode of the ViewRay$^{TM}$ system seems accurate and robust.

안면마비 증상을 호소하는 환자의 양방 치료 후 한방 치료 경험에 대한 질적 연구 (Qualitative Study on the Experience of Patients with Facial Palsy Symptoms Treated with Korean Medicine after Western Treatment)

  • 윤석영;이지현;김규석;김종한
    • 한방안이비인후피부과학회지
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    • 제35권4호
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    • pp.1-30
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    • 2022
  • Objectives : The purpose of this study was to explore the experience of patients with facial palsy symptoms treated with Korean medicine treatment(KMT) after western treatment. Methods : We conducted an individual in-depth interview with 10 participants who had experience in both western and KMT for facial palsy symptoms. This qualitative study adopted the grounded theory of Strauss and Corbin, and collected data was analyzed by using coding(open-axial-selective) that was performed to create paradigm model, which can explain this study's main theme. Results : The central phenomenon of this study was 'choosing Korean medicine treatment after western treatment preceded', and the core category was derived as 'selecting process of KMT after western medical treatment and improvement plan of Korean medicine treatment'. Conclusions : For patients with facial palsy, KMT was perceived as an essential treatment rather than an alternative, and recognized as the main treatment. Patients didn't settle for western treatment which was in progress, actively selected KMT and suggested the specific plan for improvement of KMT. Through this, we should be considered the direction of the KMT for facial palsy symptom which is the common disease of KMT.