• Journal of the Korean Society of Radiology
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• v.16 no.7
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• pp.851-856
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• 2022

The purpose of this study is to confirm the effect of reducing the surface dose around the radiation field in breast cancer radiotherapy using the Field-in-Field (FIF) technique. X-ray was exposed from a linear accelerator (Linac) was used for irradiation, and the surface dose was measured with a glass dosimeter. The source-to-surface distance (SSD) was 90 cm, the field size is 10 × 10 cm², and the X-ray energy was 6 MV and 10 MV, respectively. The surface dose of the FIF was compared with the dose measured in the physical wedge (PW) and dynamic wedge (DW). Wedge angles of 15° and 30° were used in the PW and DW, respectively. Surface dose was measured at 1 cm, 3 cm, and 5 cm from the center of the field size, respectively. According to the results, FIF showed lower surface dose compared to PW and DW regardless of the energy of the X-ray beam, wedge angle, and dose measurement point. Since FIF could reduce the radiation dose in periphery of the field size in breast cancer treatment, it is expected to be able to reduce the secondary damage caused by the radiation beam as well as to obtain a uniform dose distribution on the target.

• Journal of muscle and joint health
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• v.8 no.1
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• pp.65-85
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• 2001

Osteoporosis is the disease that is the most controversial issue with the aging tendency in 1990. It is an important issue in dealing with the health management for women in middle life. This study is designed to determine the relationships among the level of the knowledge of osteoporosis, the health promoting behaviors and the quality of life. The test has conducted a questionnaire survey of women with osteoporosis. This is a study that focused an interrelation of above issues and its purpose is to gain a foundation of a nursing intervention that can help to improve the qualify of life of an osteoporosis patients. The method of collecting data is collecting a questionnaire survey, individual interviews and records and the collected 123 questionnaire surveys are utilized for an data analysis. Questionnaire surveys are conducted in K and S Universities infirmaries and K general hospital in Seoul and C and J general hospital in near Seoul area from Sep. 27th to Nov. 4th, 2000. The instruments of this study were as follows: Yoon's used the revised and supplemented instrument to test the level of the knowledge of osteoporosis and she referred to the substance of Cassells & Knotz. Lee's revised and supplemented the instrument called Health Promoting Life style Profile that were invented by Walker, Sechrist & Pender and she used it to test the health promoting behaviors with the questionnaires added by this researcher. They are not related to the quality of life but relevant to the patients. Ro's tested the quality of life with the instrument that was invented by herself. The results of this study were as follows. 1. The general characteristics of this study subjects showed that the age of the patients was concentrated from 50 to 59. The periods after menopause was mainly from 6 to 10 years. Subjective symptoms that patients usually complain were musculoskelectal symptoms. 2. The results of measuring the level of the knowledge of osteoporosis, the health promoting behaviors and the quality of life were following. The level of the knowledge was the score 19.83 and it was above middle score out of the score 27 as full marks. In the result of the health promoting behaviors test, the score average was 2.58 with 4 point rating scale and it was about middle score. The quality of life test showed that average score was 2.92 with 5 point rating scale and it indicated that the quality was also around middle score. 3. The statistical test in the activities for promoting health according to the general characteristics of the patients showed that only monthly income has statistically significant difference(F-4.761, p=.004). The same test for the qualify of life indicated that the quality of life was higher from 1 to 5 years after menopause but it was not meaningful statistically. 4. In the correlation among the level of knowledge of osteoporosis, the health promoting behaviors and the qualify of life of the patients, showed a relationship between the health promoting behaviors and the qualify of life. The higher the health promoting behaviors, it was also higher the quality of life. But it was statistically significant with significant positive correlation.

• Journal of radiological science and technology
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• v.39 no.1
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• pp.51-57
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• 2016

Acoustic noise during magnetic resonance imaging (MRI) is the main source for patient discomfort. we report our preliminary experience with this technique in neuroimaging with regard to subjective and objective noise levels and image quality. 60 patients(29 males, 31 females, average age of 60.1) underwent routine brain MRI with 3.0 Tesla (MAGNETOM Tim Trio; Siemens, Germany) system and 12-channel head coil. Q-$T_2$ and $T_2$ sequence were performed. Measurement of sound pressure levels (SPL) and heart rate on Q-$T_2$ and $T_2$ was performed respectively. Quantitative analysis was carried out by measuring the SNR, CNR, and SIR values of Q-$T_2$, $T_2$ and a statistical analysis was performed using independent sample T-test. Qualitative analysis was evaluated by the eyes for the overall quality image of Q-$T_2$ and $T_2$. A 5-point evaluation scale was used, including excellent(5), good(4), fair(3), poor(2), and unacceptable(1). The average noise and peak noise decreased by $15dB_A$ and $10dB_A$ on $T_2$ and Q-$T_2$ test. Also, the average value of heartbeat rate was lower in Q-$T_2$ for 120 seconds in each test, but there was no statistical significance. The quantitative analysis showed that there was no significant difference between CNR and SIR, and there was a significant difference (p<0.05) as SNR had a lower average value on Q-$T_2$. According to the qualitative analysis, the overall quality image of 59 case $T_2$ and Q-$T_2$ was evaluated as excellent at 5 points, and 1 case was evaluated as good at 4 points due to a motion artifact. Q-$T_2$ is a promising technique for acoustic noise reduction and improved patient comfort.

• Journal of Korean Society of Forest Science
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• v.83 no.4
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• pp.460-472
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• 1994

This study has been conducted to give some ideas for reasonable ecological management of Taejon city and its adjacent forest ecosystem against the effect of acid rain. Rain monitoring points to analyse its components represented 1 point in industrial area, 4 points in commercial area, 4 points in residential area, and 5 points in suburban area and forest survey was done in 7 forest sites adjacent to rain monitoring points. Transformed vegetation index(TVI) based on Landsat TM data was analysed for forest area. Taejon area was seriously contaminated by air pollutants and average concentration of anions in precipitation were 20.16mg/l for $SO_4{^{2-}}$, 3.65mg/l for $NO_3{^-}$, and 3.09mg/l for $Cl^-$. Anion in precipitation were $1.09mg/m^2/month$ for $SO_4{^{2-}}$, $0.23mg/m^2/month$ for $NO_3{^-}$, and $0.20mg/m^2/month$ for $Cl^-$. Cation in precipitation were $0.14mg/m^2/month$ for $Ca^{2+}$, $0.10mg/m^2/month$ for $NH_4{^+}$, $0.08mg/m^2/month$ for $Na^+$, $0.07mg/m^2/month$ for $K^+$, and $0.08mg/m^2/month$ for $Mg^{2+}$. The region with the highest concentration of $SO_4{^{2-}}$, $NO_3{^-}$, and $Cl^-$ in rain was industrial area. $SO_4{^{2-}}$, $NO_3{^-}$, and $Cl^-$ concentrations in industrial area were 43.08, 3.88, and 3.64ppm, respectively. Forest soil showed strongly acidic ranging pH4.16-4.94. Transformed vegetation index(TVI) were 3.11 in Dangsan, 4.00 in Kyechoksan, 4.13 in Bomunsan, 4.18 in Kabhasan, 3.34 in Bongsan, 4.13 in Sikchangsan, and 4.20 in Seongchisan. Dangsan forest located near in industrial area showed the lowest TVI.

• Journal of the Korea Organic Resources Recycling Association
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• v.28 no.4
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• pp.53-68
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• 2020

The concentrations of ammonia, hydrogen sulfide and fine dust were measured in the compost facility of a full-time Hanwoo breeding farms. The experiments were conducted in stack type composting facility(T1) and mechanical-stirred composting facilities(T2, T3). In the stack type composting facility, the highest temperature of compost pile was 46℃, and in the two mechanical-stirred composting facilities, it rose to 63℃ and 68℃, respectively. The concentrations of PM2.5 at T1, T2 were 15 ㎍/㎥ and 5~10 ㎍/㎥, respectively. And the concentration of PM2.5 at T3 was below 10 ㎍/㎥. The highest concentration of ammonia generated at T1 was 4 ppm, but no hydrogen sulfide was detected. The ammonia concentrations at T2 and T3 were 3 ppm and 4 ppm, respectively. However, hydrogen sulfide was not detected in both facilities. At T3, the ammonia concentration increased to 65 ppm at the point where the compost was stirred with a mechanical agitator. During composting period, the pH of the compost pile decreased from 9.06 to 8.94 and then increased to 9.14 as the composting period elapsed. The NaCl content of compost was 0.09% after composting process was complete. Moisture content of compost decreased from 65.9% to 62% as composting progressed. As composting proceeded, the content of volatile solids decreased from 65.6% to 64.7% and the content of TKN decreased from 1.327% to 1.095%.

• The Journal of Internal Korean Medicine
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• v.21 no.4
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• pp.565-573
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• 2000

Objective : This research was carried out to find out the general understanding of allergic diseases, the frequencies of allergic diseases and the attitude toward their oriental medical treatment(OMT) among common people. Methods : A total of 360 visitors at The 2nd International Exhibition on Oriental Medicine in 2000, participated in this research. We performed this survey with 22 items on the questionnaire. Results : Respondents knew the. fact that the allergic diseases were hereditary and could be affected by the living environment. 41.8% of the respondents had a past history of allergic diseases. Among the people who had allergic diseases, 63.5% had allergic rhinitis, which was the largest portion. Among them, 52.9% had a familial history. 81.5% of respondents with allergic diseases received western medical treatment for their allergies, 16.3% received both western and oriental medical treatment and 2.2% received OMT only. Among those who were treated for allergic disease, 62.0% were unsatisfied with the low effect of the treatment. To the point of excellence of OMT, 69.7%, which was the largest portion of respondents, believed that OMT could improve their constitutions. The problem with OMT was the high price of herbal medicine and this was the problem most frequently stated, by 51.4% of respondents. There was a positive attitude towards the effect of OMT, and respondents had a preference to receive OMT in the future(p<0.01). Conclusions : These days, it is a fact that the OMT for allergic diseases has a lower proportion to that of western treatment In order to increase the role of OMT, we think, oriental medical doctors need to develop an explanatory model of improving $people^{\circ}{\phi}s$ constitutions and should lower the cost of herbal medicine.

• Clinical and Experimental Pediatrics
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• v.60 no.11
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• pp.373-378
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• 2017

Purpose: The aim of this study was to investigate the statistical properties of four previously developed pediatric coronary artery z score models in healthy Korean children. Methods: The study subjects were 181 healthy Korean children, whose age ranged from 1 month to 15 years. The diameter of each coronary artery was measured using 2-dimensional echocardiography and converted to the z score in the four models (McCrindle, Olivieri, Dallaire, and Japanese model). Descriptive statistical analyses and 1-sample t tests were performed. Results: All calculated z scores had P values of ${\geq}0.050$ using the Kolmogorov-Smirnov test. The one sample t test showed that the mean z scores did not converge to zero except in 1 model, and the mean right coronary artery (RCA) z score was less than zero in all 4 models. The smaller RCA diameter in this study could be associated with the more distal measuring point used to avoid the conal branch. The percentage of subjects with extreme z score values (${\geq}2.0$ and ${\geq}2.5$) for the left main coronary artery (LMCA) seems to be higher in the Dallaire (4.9% and 3.3%) and Japanese models (7.1% and 3.8%). Conclusion: All 4 models showed statistical feasibility of normal distribution. More precise instructions would be needed for the measurement of the RCA. The higher percentage of extreme z scores for the LMCA is compatible with the basic understanding of anatomic variation in the LMCA.

• Journal of radiological science and technology
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• v.28 no.2
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• pp.97-103
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• 2005

Objective : The aim of this study was to compare the knee joint displaying between the anteroposterior weight bearing(AP-WB) View and the metatarsophalangeal(MTP) view for assessing joint space narrowing(JSN) and osteophytes in osteoarthritis patients. Subjects and Materials : Two hundreds of twenty patients(38 men) who came rheumatoid caused by knee pain, had both AP-WB and MTP views taken on a day. Radiographs were evaluated independently by 13 experienced observers(3 orthopedics surgeon, 2 rheumatogist, 3 radiologist, 5 radiological technologist) They assessed JSN and osteophytes using by PACS monitor JSN was scored by the optic evaluation to the nearest at the narrowest point in medial compartments of the tibiofemoral joint in both knees. Osteophytes were graded 0 to 3(bad 0, not bad 1, good 2 and very good 3) according to a standard atlas. All exam was using by Philips(Buckey Diagnostic-TH) X-ray material. Exposure condition was 60 kv, 8 mAs and 100 cm focus to film distance. Results : JSN was scored $1.32{\pm}0.050$ in AP-WB view, $2.51{\pm}0.046$ in MTP view. MTP view of JSN score is higher to AP-WB view significantly(p<0.05). Osteophytes scored $2.14{\pm}0.054$ in AP-WB view, $2.10{\pm}0.054$ in MTP view. There was no difference(p<0.05) between MTP view and AP-WB view in osteophytes. But MTP view was more reproducible than AP-WB view Conclusions : Joint space narrowing is most important factor to diagnosis with knee joint Osteoarthritis patients. This study was summarized as follows; In comparision of JSN, MTP view was more widely displayed than AP-WB view. In comparision of Osteophytes, there was no difference between MTP view and AP-WB view. It was concluded MTP view was more useful method to diagnosis of knee joint Osteoarthritis patients.

• Journal of the Korean Society for Marine Environment & Energy
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• v.8 no.1
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• pp.1-8
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• 2005

We estimated the loadings of nitrogen and phosphorus flowing into Gwangyang Bay front river for monthly interval from April to December of 2003. We analyzed the concentrations of nitrogen and phosphorus in water and estimated the flowing rates of fresh water in 34 rivers. The amounts of water flowing into the Gwdngyang Bay from Sum-Jin River was 51-76％ in the total inflow of the river. The river water over 96％ of discharge was from Sumjin River, Dong River, Ju-Kyo River, Seo River and Shinkyum River. The flowing patterns of nitrogen and phosphorus into Gwangyang Bay were similar to the flowing of river. The nitrogen and phosphorus loadings into the Bay were higher in July and August than in dry seasons. In particular, the concentrations of phosphorus were high in Namshu River, Deukyang River and Kilho River sewage during in dry seasons. The range of DIN and TN loadings from Sumjim River were 46-66％ and 36-64％, respectively. The loading of DIP and TP from Sumjim River were 2-55％ and 12-67％, respectively. These results show that the most efficient control of N. p flow into Gwangyang Bay is to restrain the inflows of N, p from Namshu River, Deukyang River and Kilho River and to restrain the flows of N, p from Dong River, Ju-Kyo River and industrial plant. The DIN/DIP atom ratio in river water was about 18 in July and August, while the ratio was more higher in dry seasons than July and August of rainy seasons. The TN/TP atom ratio in river water was about 7 in rainy seasons, while the ratios were higher than 100 in the other months of dry seasons.

• The Korean Journal of Nuclear Medicine Technology
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• v.14 no.1
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• pp.83-89
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• 2010

Purpose: The Wide Beam Reconstruction (WBR) algorithms that UltraSPECT, Ltd. (U.S) has provides solutions which improved image resolution by eliminating the effect of the line spread function by collimator and suppression of the noise. It controls the resolution and noise level automatically and yields unsurpassed image quality. The aim of this study is WBR of whole body bone scan in usefulness of clinical application. Materials and Methods: The standard line source and single photon emission computed tomography (SPECT) reconstructed spatial resolution measurements were performed on an INFINA (GE, Milwaukee, WI) gamma camera, equipped with low energy high resolution (LEHR) collimators. The total counts of line source measurements with 200 kcps and 300 kcps. The SPECT phantoms analyzed spatial resolution by the changing matrix size. Also a clinical evaluation study was performed with forty three patients, referred for bone scans. First group altered scan speed with 20 and 30 cm/min and dosage of 740 MBq (20 mCi) of $^{99m}Tc$-HDP administered but second group altered dosage of $^{99m}Tc$-HDP with 740 and 1,110 MBq (20 mCi and 30 mCi) in same scan speed. The acquired data was reconstructed using the typical clinical protocol in use and the WBR protocol. The patient's information was removed and a blind reading was done on each reconstruction method. For each reading, a questionnaire was completed in which the reader was asked to evaluate, on a scale of 1-5 point. Results: The result of planar WBR data improved resolution more than 10%. The Full-Width at Half-Maximum (FWHM) of WBR data improved about 16% (Standard: 8.45, WBR: 7.09). SPECT WBR data improved resolution more than about 50% and evaluate FWHM of WBR data (Standard: 3.52, WBR: 1.65). A clinical evaluation study, there was no statistically significant difference between the two method, which includes improvement of the bone to soft tissue ratio and the image resolution (first group p=0.07, second group p=0.458). Conclusion: The WBR method allows to shorten the acquisition time of bone scans while simultaneously providing improved image quality and to reduce the dosage of radiopharmaceuticals reducing radiation dose. Therefore, the WBR method can be applied to a wide range of clinical applications to provide clinical values as well as image quality.