• 제목/요약/키워드: fall reduction

검색결과 218건 처리시간 0.028초

Dosimetric Comparison of 6 MV Flattening Filter Free and 6 MV Stereotactic Radiosurgery Beam Using 4 mm Conical Collimator for Trigeminal Neuralgia Radiosurgery

  • Mhatre, Vaibhav R;Chadha, Pranav;Kumar, Abhaya P;Talapatra, Kaustav
    • Journal of Radiation Protection and Research
    • /
    • 제43권3호
    • /
    • pp.107-113
    • /
    • 2018
  • Background: The purpose of our study was to compare the dosimetric advantages of Flattening filter free (FFF) beams for trigeminal neuralgia patients using 4 mm conical collimators over previously treated patients with 6 MV SRS beam. Materials and Methods: A retrospective study was conducted for 5 TN patients who had been previously treated at our institution using frame-based, LINAC-based stereotactic radiosurgery (SRS) on Novalis Tx using 6 MV SRS beam were replanned on 6X FFF beams on Edge Linear accelerator with same beam angles and dose constraints using 4 mm conical collimator. The total number of monitor units along with the beam on time was compared for both Edge and Novalis Tx by redelivering the plans in QA mode of LINAC to compare the delivery efficiency. Plan quality was evaluated by homogeneity index (HI) and Paddick gradient index (GI) for each plan. We also analyzed the doses to brainstem and organ at risks (OARs). Results and Discussion: A 28% beam-on time reduction was achieved using 6X FFF when compared with 6X SRS beam of Novalis Tx. A sharp dose fall off with gradient index value of $3.4{\pm}0.27$ for 4 mm Varian conical collimator while $4.17{\pm}0.20$ with BrainLab cone. Among the 5 patients treated with a 4 mm cone, average maximum brainstem dose was 10.24 Gy for Edge using 6X FFF and 14.28 Gy for Novalis Tx using 6X SRS beam. Conclusion: The use of FFF beams improves delivery efficiency and conical collimator reduces dose to OAR's for TN radiosurgery. Further investigation is warranted with larger sample patient data.

홍수피해 감소를 위한 지역규모 기상모델의 적용성 분석 (Analysis of Regional-Scale Weather Model Applicabilities for the Enforcement of Flood Risk Reduction)

  • 정용;백종진;최민하
    • 대한토목학회논문집
    • /
    • 제32권5B호
    • /
    • pp.267-272
    • /
    • 2012
  • 기후변화로 증가하는 홍수피해를 대처하기 위해 여러 예측 방법들이 개발되고 있다. 홍수예측의 가장 핵심 요소는 홍수예측을 위한 수문모델의 입력자료로 사용하는 강우에 대한 정확하고 신속한 예측이다. 기존의 레이더 강우를 이용한 Nowcasting 보다 더 많은 대응시간을 확보할 수 있는 중소규모의 기후모델인 WRF(Weather Research Forecast)-ARW(Advanced Research WRF)를 소개하고, 이를 한반도 중부지방의 청미천 지역에 적용하려 한다. WRF-ARW의 적용기간은 2006년 7월 11일부터 7월 23일까지이며 이 결과를 청미천 유역에 있는 강우 관측소들(생극, 삼죽, 설성)의 실제 강우관측소의 관측 값과의 비교에 의해 이 강우 사상에 대해 Thomson scheme(미세물리)와 Kain-Frisch scheme(적운형 매개변수)의 조합이 청미천유역에서 가장 적합한 기후물리 조합이며 Mean Absolute Relative Error를 통해 세 개의 강우관측지점이 0.45 이상의 값을 나타내었다.

국제환경규범(國際環境規範)과 무역연계(貿易連繫) (International Rule for Environment and International Trade)

  • 신한동
    • 무역상무연구
    • /
    • 제12권
    • /
    • pp.587-613
    • /
    • 1999
  • Environmental problems such as global climate change, depletion, ocean and air pollution, and resource degradation-compounded by an expanding world population-respect no border and threaten the health, prosperity and jobs of all mankind. Our efforts to promote democracy, free trade, and stability in the world will fall short unless people have a livable environment. We have an enormous stake in the management of the world's resources. By increasing demand for timber, natural gas, coal and consumer's goods have destroyed the grounds for living. Greenhouse gas emissions anywhere in the world have threatened coastal communities, and then changed the Earth's climate system. The burning of coal, oil, and other fossil fuels is increasing substantially the concentration of heat-trapping gasses such as carbon dioxide, methane, and nitrous oxide in our air. The earth's temperature and sea levels are rising as a result. Since 1972 there has been a marked growth in the number and scope of environmental treaties. In particular, after the 1992 Rio Conference, international legal instruments became more concentrated on addressing environment within the context of sustainable development and incorporated a number of new concepts and innovative approaches. A preliminary analysis of recent conventions and in particular those associated with the Rio Conference indicates various ideas, concepts and principles which have come to the fore including sustainable development, equity, common concern of humankind, common but differentiated responsibilities and global partnership. However, international trade also has an environmental impact which must be minimized or countered. Positive measures are to be preferred to achieve environmental goals, but where trade provisions are necessary, they should be appropriately used within environmental conventions to facilitate the reduction and limitation of the negative impacts of trade and to enhance the complementarity of the multilateral trade regime with the imperatives of environmental protection, in the interests of environmental protection and sustainable development generally. The international community has to recognize and endorse this need to achieve complementarity between trade and environment issues.

  • PDF

거골 경부 골절에 대한 치료 (Clinical Evaluation of the Fracture of Talar Neck)

  • 이진홍;이정웅;조재영;배상원;이의형;이주연
    • 대한족부족관절학회지
    • /
    • 제1권2호
    • /
    • pp.119-125
    • /
    • 1997
  • The fracture and fracture-dislocation of the neck of the talus (Hawkins' type I-IV) are uncommon injuries and represent only 0.12 to 0.32% of all fracures. Authors clinically evaluated in 12 cases Whom treated fracures of the neck of the talus, at department of orthopaedic surgery, Sun General Hospital, from 1990 to 1996, and the following results are obtained. 1. Of 12 cases, there were 11 males and 1 female, average age was 30 years. 2. Causes of fracture was fall down injury in 7 cases(58%), traffic accident in 4 cases(33%), direct trauma in 1 case(8%). 3. According to the classification by Hawkins' type I in 2 cases(17%), type II in 7cases (58%), type III in 3cases(25%). 4. Associated injuries were calcaneal fracture in 3 cases, fracture-dislocation of talus in 3 cases, subtalar dislocation in 3 cases, medial malleolar fracture in 5 cases, soft tissue injury in 3 cases, femur and tibia fracture in 1 case, and lumbar Spine compression fracture in 1 case. 5. Average time to operation after injury was 2.5 days. 6. In 2 cases were treated conservatively and 10 cases were treated open reduction and internal fixation with screw or K-wire. 7. Complications were avascular necrosis in 4 cases, post traumatic arthritis in 2 cases, skin necrosis in 4 cases, and then ankle fusion was done in 2 cases. 8. High rate of complication was seen in the talar neck fracture associated with calcaneal fracture. In the analysis of above results, evaluated by Hawkins' scoring system were excellent to fair in 75%.

  • PDF

도로 포장의 초기상태에 따른 공사비 차등지급규정의 시험적용 (Application of Pay Adjustment Regulation for Highway Flexible Pavements)

  • 서영국
    • 한국도로학회논문집
    • /
    • 제11권3호
    • /
    • pp.111-120
    • /
    • 2009
  • 본 논문에서는 도로포장의 성능개선을 유도하기 위한 제도적 수단인 공사비 차등지급규정(지불규정)을 제시하고 이를 고속도로 아스팔트 포장 공사에 처음으로 적용한 결과를 다루고 있다. 지불규정을 적용하기 위한 단위구간(lot)은 덧씌우기 포장의 일평균 시공연장으로 정의하였다. 단위구간은 다시 포장의 초기상태 평가를 위한 최소 단위인 세부단위구간(sublot)으로 나누었으며, 세부단위구간에서 측정한 품질항목의 평균과 표준편차를 이용하여 단위구간을 대표하는 품질항목별 지불계수(pay factor)를 산정하였다. 마지막으로, 각각의 품질항목이 포장의 중장기 공용성에 미치는 상대적 영향을 고려하여 합성지불계수를 결정하였다. 본 연구에서 제시한 지불규정은 2008년에 한국도로공사 6개 지역본부(충청, 호남, 경북, 경남, 경인, 강원)에서 시행된 아스팔트 덧씌우기 포장공사에 적용하였으며, 이 과정에서 제기된 고려사항 및 문제점을 정리하였다. 결론적으로, 품질항목에 대한 평가결과가 품질관리한계를 만족하는 경우에는 기존 공사비 대비 최대 50% 가까이 인센티브 지급이 가능함을 알 수 있었다. 반면에, 다짐도와 같은 주요 성능관련 품질이 낮을 경우 기존 공사비 대비 최대 10% 가까이 공사비 감액도 있을 수 있음을 확인하였다.

  • PDF

최근 5년간의 흉부손상 경험 -481 예- (five year experience of thoracic civilian injuries -481 cases-)

  • 손광현;구본일;김태영
    • Journal of Chest Surgery
    • /
    • 제19권3호
    • /
    • pp.421-428
    • /
    • 1986
  • From January 1981 through December 1985, 481 thoracic civilian injuries were reviewed in the Department of Thoracic Surgery, Paik Hospital in Seoul. Sixty two percent of the injuries were caused by traffic accident, 18% fall down, 15% blunt trauma, 2% crushing injury, 2% stab wound, and 0.4% gunshot wound. Peak incidence of the trauma victim was fourth and fifth decades revealing 22% and 27% respectively. Sex ratio was 3.5:1 with male predominance. Elapsed time before admission was less than one hour in 36% and one to six hour in 30%. The types of the injuries were as follows: Non-penetrating injuries were the most part of the wounded, 97.6%. Rib fracture was the most common lesion occupying 292 patient out of 481 [61%]. Of these 292 patients, 72% was multiple rib fracture. The incidence of hemothorax or hemopneumothorax was 19% [102 patients] [Table 4]. Most common associated condition was head injuries, 98 patients [14%]. Thoracoabdominal injuries were seen in 31 patients [0.6%]. Tube thoracostomy was the definitive measures in the 20% of the wounded. Open thoractomy was performed in 5%. Additional procedures for the associated condition were done in the 16% of the cases, for example, reduction of long bone fracture and trephination for the head injury. Among 481 wounded, fatal complication occurred in 13 patients [2.7%]. This paper has also compared two series of patients according to period; one from 1970 to 1980 and the present series [Table 8]. Conclusively, the fatal complications or trauma death may be reduced by the effort 1] rapid transport of the victim, 2] initial correction or resuscitative measures of the circulatory and ventilatory deficit 3] early decision of definitive thoracostomy or thoracotomy and 4] proper prioritizing for the care of the multiple critically injured patient.

  • PDF

60세 이상 환자에서 발생한 외상성 견관절 전방 탈구 (Traumatic Anterior Shoulder Dislocation in Patients Older than 60 Years of Age)

  • 하종경;유재두;박성필;신상진
    • Clinics in Shoulder and Elbow
    • /
    • 제9권1호
    • /
    • pp.42-49
    • /
    • 2006
  • Purpose: This study evaluated clinical results, and recommended treatment protocol of traumatic anterior shoulder dislocation in the patients older than 60 years of age. Materials and Methods: Thirty-eight patients with first traumatic anterior shoulder dislocation aged over 60 years were included. The average age was 69.4 (range, 60 to 87 years). There were 8 men (average age of 71.6) and 30 women (average age of 69). Most common cause of injuries was a fall on the outstretched hand. The additional injuries were evaluated using MRI or CT arthrogram in the patients with significant pain and weakness while movements after 2 weeks sling immobilization. Results: Fifteen patients (39%) had rotator cuff tears and 5 patients (14%) had greater tuberosity fractures. The sizes of rotator cuff tears were diverse; 2 partial tears, 1 small tear, 4 medium tears, 3 large tears and 5 massive tears. Among 5 massive cuff tears, 3 patients revealed cuff arthropathy after reduction. 4 patients (11%) had recurrent dislocation more than one time during 1 month after the first dislocation. Bankart lesions revealed in 5 patients and three of them had associated rotator cuff tears. 3 out of 5 patients with Bankart lesions, 13 out of 15 patients with rotator cuff tears and 3 patients with displaced greater tuberosity fracture had operations. Conclusion: The injury mechanism of shoulder dislocation in patients older than 60 years of age seems to have either anterior or posterior mechanism. The diagnosis and treatment should be approached 2 weeks after dislocation.

SCR 반응기 유동 균일화를 위한 수치적 연구 (Numerical Study for Flow Uniformity in Selective Catalytic Reduction (SCR))

  • 정유진;홍성길;이강우;손병현
    • 한국산학기술학회:학술대회논문집
    • /
    • 한국산학기술학회 2011년도 춘계학술논문집 1부
    • /
    • pp.151-154
    • /
    • 2011
  • $NO_x$ 제어 기술로는 크게 연소 전 탈질, 연소 개선 및 연소 후 탈질 기술로 구분할 수 있으며, 연소 후 탈질 기술에 속하는 SCR은 촉매를 사용하여 $NO_x$를 환원하는 대표적인 배연탈질기술이다. SCR의 $NO_x$ 저감 성능은 촉매 요인(촉매 구성물질, 형태, 공간속도 등)과 배가스의 온도, 유속 분포, 공정 운전 조건 등의 다양한 인자에 의해 좌우되는데 특히, 촉매층으로 유입되는 유동의 균일도는 가장 중요한 요소가 된다. 유동이 균일하지 않을 경우 촉매 전단에 편류가 발생하게 될 것이며 일정 촉매만 사용하게 되어 촉매 사용주기 감소 및 SCR 성능 저하를 초래할 수 있기 때문이다. 본 연구에서는 3차원 수치 해석 기법을 이용하여 설계 초기의 SCR 반응기 내 유동 특성을 모사하여 기류 균일도 여부를 확인하고, SCR 내 유동 균일도를 최적화시키기 위한 설계를 목적으로 설치하는 가이드 베인과 배플, 다공판이 반응기 내부 유동 및 촉매층의 기류 균일도에 미치는 영향에 대하여 연구를 수행하였다. 그 결과, 유동 개선을 위해 인입 덕트 곡관부에 가이드 베인을 설치하여 처리가스를 적절하게 배분시키고, 반응기 상단에 3단 배플을 설치한 결과 반응기 내부 유동의 편류 개선에 매우 효과적임을 알 수 있었다. 또한 다공판을 예비 촉매층 하단부 위치에 추가로 설치함에 따라 유동을 한번 더 완충시킬 수 있어 기류 균일도가 매우 양호해짐을 알 수 있었다.

  • PDF

보조접지그리드의 시설에 의한 대지표면전위경도의 저감 (Reduction of the the Ground Surface Potential Gradients by Installing Auxiliary Grounding Grids)

  • 이승칠;엄주홍;이복희;김효진
    • 조명전기설비학회논문지
    • /
    • 제16권2호
    • /
    • pp.121-129
    • /
    • 2002
  • 본 논문에서는 효과적인 접지그리드 설치기법에 대하여 기술하였으며, 낙뢰나 지락고장서지, 개폐서지 등으로 부터 인체의 감전보호나 컴퓨터를 비롯한 전기·전자기기의 보호를 위한 접지그리드의 시설 및 배치방법에 따른 실험적인 평가를 수행하였다. 접지그리드의 배치에 따른 대지표면전위경도의 분석과 위험전압으로 작용하는 대지 표면전위상승의 억제에 주안점을 두고 실험용 모델접지전극을 시설한 후 임 펄스전류를 인가하였다. 기존의 등간격 접지그리드의 결점을 보완하기 위해 접지그리드에 경사를 가지는 보조접지그리드를 시설하였으며, 보조접지그리드를 시설한 접지시스템에서는 인체나 전기·전자기기에 위험전압으로 작용하는 대지표면전위경도를 최대 50%이상 완화시키는 효과를 얻었다.

옷감의 질감 명명 체계 확립을 위한 질감 속성자 분류 -여성 슈트용 추동복지의 질감 속성을 중심으로- (Classification of Textural Descriptors for Establishing Texture Naming System(TNS) of Fabrics -Textural Descriptions of Women's Suits Fabrics for Fall/winter Seasons-)

  • 한은경;김은애
    • 한국의류학회지
    • /
    • 제30권5호
    • /
    • pp.699-710
    • /
    • 2006
  • The objective of this study was to identify the texture-related components of woven fabrics and to develop a multidimensional perceptual structure map to represent the tactile textures. Eighty subjects in clothing and tektite industries were selected for multivariate data on each fabric of 30 using the questionnaire with 9 pointed semantic differential scales of 20 texture-related adjectives. Data were analyzed by factor analysis, hierarchical cluster analysis, and multidimensional scaling(MDS) using SPSS statistical package. The results showed that the five factors were selected and composed of density/warmth-coolness, stiffness, extensibility, drapeability, and surface/slipperiness. As a result of hierarchical cluster analysis, 30 fabrics were grouped by four clusters; each cluster was named with density/warmth-coolness, surface/slipperiness, stiffness, and extensibility, respectively. By MDS, three dimensions of tactile texture were obtained and a 3-dimensional perceptual structure map was suggested. The three dimensions were named as surface/slipperiness, extensibility, and stiffness. We proposed a positioning perceptual map of fabrics related to texture naming system(TNS). To classify the textural features of the woven fabrics, hierarchical cluster analysis containing all the data variations, even though it includes the errors, may be more desirable than texture-related multidimensional data analysis based on factor loading values in respect of the effective variables reduction without losing the critical variations.