• Title/Summary/Keyword: radiation management

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Chronic Wound Treatment Using rh PDGF (재조합 인체 혈소판 성장인자(rh PDGF)를 이용한 만성 창상의 치료)

  • Jeong, Wong-Ki;Lew, Dae-Hyun;Park, Beyoung-Yun
    • Archives of Reconstructive Microsurgery
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    • v.11 no.2
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    • pp.173-178
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    • 2002
  • Wound healing is the result of interaction of normal cellular and biochemical responses that restore the interrupted anatomical structure in limited period. When any response of them is impaired, it results in chronic wound. The factors that influence the wound healing process is not only limited to the fundamental disease of the individual but also the local factors, especially various growth factors secreted from the various cells involved in tissue regeneration have important role. Recent reports that the chronic wounds are depleted of these growth factors have led active studies on the alteration of local wound environment with manipulation of the growth factors and the its application in management of chronic wounds. We investigated the effect on the chronic wounds in 10 patients with various pathologic conditions to suggest the appropriate application and guideline of the indication. The chronic wounds resulting from various causes in 10 patients were treated with rhPDGF gel and good wound care. All the chronic wounds were located on the lower extremity and the average diameter was 2.5 cm. 7 patients were completely cured within 8 weeks, however the patient who received previous radiation therapy the healing was delayed to 14 weeks. Two patients with vascular ulcer were not cured with rhPDGF alone. Local application of rhPDGF has yielded complete cure of the chronic wound in 70% of the patients within 2 months. The author suggests that it would be an effective alternative treatment modality of chronic wound when it is applied with good wound care and appropriate indication.

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Development of a Method to Estimate the Seasonal Heating Load for Plastic Greenhouses (플라스틱 온실의 기간난방부하 산정 방법 개발)

  • Nam, Sang Woon;Shin, Hyun Ho
    • Journal of The Korean Society of Agricultural Engineers
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    • v.57 no.5
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    • pp.37-42
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    • 2015
  • In order to provide fundamental data for the creation of environmental design criteria for horticultural facilities, we developed a method to easily calculate the seasonal heating load applying heating degree-hour while taking into account heating load reductions due to solar radiation in the daytime, and reviewed through greenhouse heating experiments. Heating experiments and measuring meteorological environments were carried out in three greenhouses located at Buyeo, Cheonan, and Buan, and we derived reduction factors of seasonal heating load according to hours of sunshine. Daily mean hours of sunshine during the experiment period in each of the greenhouse was 4.0 to 8.3 hours, and the reduction factor of seasonal heating load was 0.64 to 0.85, has been shown to decrease linearly with the increase in hours of sunshine. A method to estimate the seasonal heating load for greenhouses was developed using the reduction factor of seasonal heating load derived from the greenhouse heating experiment, including the adjustment factor of seasonal heating load according to hours of sunshine. The developed method was validated through heating experiments in a greenhouse located at Cheonan. Greenhouse seasonal heating loads calculated by the method developed in this study were analyzed to show the estimate error of 1.2 to 5.0%. It showed that the accuracy increased 2.3 times more than when using the heating load reduction factor of 0.75 applied uniformly in previous studies. Thus, the calculation method of seasonal heating load for greenhouses considering hours of sunshine developed in this study could be utilized for energy estimation, management planning, and economic evaluation in greenhouse design.

An ability test for the use of indirect radiographic unit (간접촬영용 X-선 발생장치 성능 평가)

  • Im, In-Cheol
    • Journal of radiological science and technology
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    • v.27 no.4
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    • pp.37-41
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    • 2004
  • Purpose : Raise ability cultivation in presence at a sicked business by performance management estimation of device through measurement. Also Learn a technology that measure exact tube voltage, exposure time, output dose. And it is to grasp photofluorography X-ray generator existing circumstances using at hospital. Material & Method : Investigated Photofluorography X-ray generator(inside, outside each 10) of 10 university hospitals using tube voltage, exposure time, output dose measuring instrument. Result : Photofluorography device that tube voltage correctness is incongruent by examination PAE decision came out 3, and at exposure time correctness examination 2 incongruent, Also 3 that calculate coefficient of variation about exposure in repeatability examination of exposure were incongruent. Inappropriate photofluorography device is 5 outside hospital(mobile unit) and the thing in hospital was 3 in 3 kind of efficiency test. It appeared high that photofluorography device outside hospital is more incongruent than thing in hospital. Conclusion : May ready situation that can offer patient medical service of good quality by radiation exposure reduction, image quality administration, retake decrease etc. by keeping performance of Photofluorography device. Therefore, is considered that need on-time efficiency test.

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Quantitative Comparison of Activity Calculation Methods for the Selection of Most Reliable Radionuclide Inventory Estimation

  • Hwang, Ki-Ha;Lee, Sang-Chul;Lee, Kun-Jai;Jeong, Chan-Woo;Ahn, Sang-Myeon;Kim, Tae-Wook;Kim, Kyoung-Doek;Herr, Y.H.
    • Proceedings of the Korean Radioactive Waste Society Conference
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    • 2003.11a
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    • pp.322-327
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    • 2003
  • It is important to know the accurate radionuclide inventory of radioactive waste for the reliable management. However, estimation of radionuclide concentrations in drummed radioactive waste is difficult and unreliable because of difficulties of direct detection, high cost, and radiation exposure of sampling personnel. In order to overcome these difficulties, scaling factors (SFs) have been used to assess the activities of radionuclides that could not be directly analyzed. A radionuclide assay system has been operated at KORI site since 1996 and consolidated scaling factor method has played a dominant role in determination of radionuclides concentrations. However, some problems are still remained such as uncertainty of estimated scaling factor values, inaccuracy of analyzed sample values, and disparity between the actual and ideal correlation pairs and the others. Therefore, it needs to improve the accuracy of scaling factor values. The scope of this paper is focused on the improvement of accuracy and representativeness of calculated scaling factor values based on statistical techniques. For the selection of reliable activity determination method, the accuracy of estimated SF values for each activity determination method is compared. From the comparison of each activity determination methods, it is recommended that SF determination method should be changed from the arithmetic mean to the geometrical mean for more reliable estimation of radionuclide activity. Arithmetic mean method and geometric mean method are compared based on the data set in KORI system.

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The Relationship Between Fear-Avoidance Beliefs and Functional Status in Patients With Low Back Pain: A Cross-Sectional Study (요통 환자에서 나타나는 공포-회피 반응과 기능 수행 수준의 관계: 단면 연구)

  • Kim, Jin-Teak;Kim, Suhn-Yeop;Oh, Duck-Won
    • Physical Therapy Korea
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    • v.16 no.1
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    • pp.52-60
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    • 2009
  • The objectives of this study were to investigate the relationship between fear-avoidance beliefs and functional status in individuals suffering from low back pain, and to identify factors that influence on fear-avoidance beliefs, functional status and pain. A cross-sectional study included 214 individuals with low back pain. Each of subjects completed a fear-avoidance beliefs questionnaire (FABQ) which divided into two subscales, FABQ for physical activity (FABQ-PA) and FABQ for work(FABQ-W), Oswestry disability index (ODI) and numeric pain rating scale (NPRS). Individuals with radiating pain were significantly higher in FABQ-PA, FABQ-total, and ODI scores than with no radiation pain (p<.05). Individuals who had received surgery were significantly higher in FABQ-PA, FABQ-total, ODI and NPRS scores when compared with individuals who had not received it (p<.05). And individuals with taking medication were significantly higher in all variables (FABQ-PA, FABQ-W, FABQ-total ODI and NPRS) than individuals not taking medication (p<.05). In correlation analysis. age appeared to be significantly correlated with FABQ-PA, FABQ-total and ODI scores (p<.05), and all variables was significantly correlated with each other (p<.01). These findings indicate that individuals suffering from low back pain have psychosocial problems such as fear-avoidance beliefs as well as functional status and pain. Fear-avoidance beliefs may contribute to aggravate physical symptoms, and therefore it should be carefully considered for the management of individuals with low back pain.

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Hydrological Analysis in Soyanggang-dam Watershed Using SLURP Model (SLURP 모형을 이용한 유출수문분석 - 소양강댐 유역을 대상으로 -)

  • Lim, Hyuk-Jin;Kwon, Hyung-Joong;Jang, Cheol-Hee;Kim, Seong-Joon
    • Journal of Korea Water Resources Association
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    • v.37 no.8
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    • pp.631-641
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    • 2004
  • The objective of this study is to test the applicability of SLURP (Semi-distributed Land Use-based Runoff Process) on Soyanggang-dam watershed. SLURP model is a conceptual semi-distributed form model that can be used to examine irrigation plan and the effects of proposed changes in water management within a basin or to see what effects external factors such as climate change or changing land cover might have on various water users. Topographical parameters were derived from DEM using TOPAZ and SLURPAZ. Monthly NDVIs were calculated from multi-temporal NOAA/AVHRR images during four years (1998 ∼ 2001). Weather elements (dew-point temperature, solar radiation, maximum/minimum temperature and relative humidify) were obtained from five meteorological stations within and near the study area. To simulate daily hydrograph during 1998 ∼ 2001, the model parameters of each land cover class were optimized by sensitivity analysis and SCE-UA method. Test result of SLURP was summarized by various statistics method (WMO volume error, Nash-Sutcliffe efficiency, mean error and coefficient of variation).

Convergence Risk Factors for Thyroid Nodules Diagnosed Ultrasound (초음파검사로 진단된 갑상선결절의 융복합 위험요인)

  • Lee, Hye-Nam;Park, Yeon-Hwa
    • Journal of Digital Convergence
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    • v.14 no.1
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    • pp.305-310
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    • 2016
  • Recently as the ultrasonography became generalized, the annual change rate of the incidence of thyroid cancer extraordinarily grew to 24.5% in Korea. Therefore, the aim of this study was performed to identify the risk factors of thyroid cancer apart from conventional risk factors of dietary iodine and ionizing radiation. In this retrospective study, 411 patients underwent fine-needle aspiration biopsy were examined from January 2011 to March 2013. The subjects are divided into two groups which are 260 patients with benign nodule and 151 patients with malignancy nodule. We compared age, hematologic values, body mass index, waist circumference, menopausal status, breast nodules status, uterine myoma status, fatty liver status of targeted group of patients. According to the result, in thyroid cancer group with obesity, the number of case of breast nodules and myoma was higher, and their thyroid stimulating hormone values was higher than the benign nodule group. In order to establish factors influencing thyroid and thyroid cancer, there is a definite need for continuous study.

Treatment Outcomes of Pediatric Craniopharyngioma : A 15-Year Retrospective Review of 35 Cases

  • Jo, Kwang-Wook;Shin, Hyung-Jin;Kong, Doo-Sik;Seol, Ho-Jun;Nam, Do-Hyun;Lee, Jung-Il
    • Journal of Korean Neurosurgical Society
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    • v.52 no.1
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    • pp.37-41
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    • 2012
  • Objective : The aim of this study was to describe a single center's experience in the management of craniopharyngiomas in children over a 15-year period. Methods : The clinical records of pediatric patients treated for craniopharyngiomas between December 1995 and February 2011 were reviewed. Thirty-five pediatric patients diagnosed with craniopharyngioma were treated, and their medical records and imaging data were analyzed retrospectively. Results : The mean follow-up duration was 76 months (range, 10-195). Overall survival and local control rates at 10 years were $94.7{\pm}5.1%$ and $37.1{\pm}11.9%$, respectively. The female-to-male ratio was 16 : 19, and the mean age was 8.6 years (range, 1-17). Initially, gross total resection (GTR) was performed in 30 patients; subtotal resection (STR) followed by radiotherapy was performed in 5 patients. Of the 14 cases that showed recurrence after GTR, 5 patients were treated with GTR, 1 with radiation therapy (RT), 4 with gamma knife radiosurgery (GKRS), and 4 with subtotal resection followed by RT. No patients who underwent RT or GKRS had recurrences. Two cases with recurrence after STR followed by RT were treated with GTR. One patient died of hormonal insufficiency 64 months after the first surgery. The overall median time progression was 51.2 months (range, 3-182) : 49.7 months in the patients who underwent GTR and 60.2 months in the patients who underwent STR followed by RT. Conclusion : If safe resection is possible, GTR at the initial treatment should be attempted to reduce the tumor recurrence. However, if the tumor recurs after the first surgery, RT or GKRS with/without reoperation may be an effective salvage treatment for recurrent craniopharyngioma.

Indicators and Qualitative Assessment of Lung Cancer Management by Health Insurance Review and Assessment Service (HIRA) of Korea in 2015

  • Yeo, Chang Dong;Lee, Myoung Kyu;Lee, Seung Hyeun;Kim, Eun Young;Lee, Ik Jae;Park, Heae Surng;Chang, Yoon Soo
    • Tuberculosis and Respiratory Diseases
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    • v.81 no.1
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    • pp.19-28
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    • 2018
  • Cancer is the leading cause of death in the Republic of Korea and cancer death accounts for 27.8% of the total deaths, which is not only a social issue but also a concern for the public. Among the cancer death rates, lung cancer mortality account for 34 deaths per 100,000 populations, making it the number one cancer death rate. In a preliminary report on cancer death in 2012, the lung cancer mortality ratio showed the regional variation indicating that there were differences in the qualitative level and the structure among the medical care benefit agency and in the assessment of the treatment process. Therefore, the Health Insurance Review and Assessment Service (HIRA) had begun evaluation of the assessment of lung cancer treatment since 2014 to improve the quality of lung cancer care through evaluation and feeds back the results of lung cancer care process. In this report, authors described the current Indicators for the lung cancer adequacy assessment proposed by HIRA and results of the evaluation reported in 2017.

Analysis of prediction model for solar power generation (태양광 발전을 위한 발전량 예측 모델 분석)

  • Song, Jae-Ju;Jeong, Yoon-Su;Lee, Sang-Ho
    • Journal of Digital Convergence
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    • v.12 no.3
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    • pp.243-248
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    • 2014
  • Recently, solar energy is expanding to combination of computing in real time by tracking the position of the sun to estimate the angle of inclination and make up freshly correcting a part of the solar radiation. Solar power is need that reliably linked technology to power generation system renewable energy in order to efficient power production that is difficult to output predict based on the position of the sun rise. In this paper, we analysis of prediction model for solar power generation to estimate the predictive value of solar power generation in the development of real-time weather data. Photovoltaic power generation input the correction factor such as temperature, module characteristics by the solar generator module and the location of the local angle of inclination to analyze the predictive power generation algorithm for the prediction calculation to predict the final generation. In addition, the proposed model in real-time national weather service forecast for medium-term and real-time observations used as input data to perform the short-term prediction models.