• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제3권4호
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• pp.7-16
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• 1997

Mental hospital has been expanding its function to psychiatric treatment in the meaning of therapy. Therefore systematic research on thr mental hospital is urgent. This study aims to prepare the basic data which are needed on planning and designing the mental hospital with emphasis on the wards, which take the largest area ratio and play a principal role to psychiatric patients. The process of study is to 1) to survey facility of Mental hospital in Korea, 2) to analize charactor and behavior of psychiatric patients 3) to suggest element of ideal ward in general hospital.

• Journal of Chest Surgery
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• 제54권4호
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• pp.246-252
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• 2021

Although lobectomy remains the gold-standard surgical treatment for non-small-cell lung cancer, the frequency of thoracoscopic segmentectomy is increasing. Multiple factors must be considered in the choice of the procedure, ranging from adequate surgical planning or simulation, tumor localization, and identification of the intersegmental plane to severing the intersegmental plane to achieve an oncologically safe surgical margin with no or minimal manual palpation and different landmarks. In this article, we present an overview of methods for each procedural step of thoracoscopic segmentectomy, from preoperative planning to division of the intersegmental plane.

• Asian Pacific Journal of Cancer Prevention
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• 제16권5호
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• pp.1897-1900
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• 2015

Purpose: To evaluate acute toxicity in nasopharyngeal cancer (NPC) patients treated with intensity modulated radiotherapy (IMRT)/volumetric modulated arc therapy (VMAT) with or without cisplatin-based chemotherapy. Materials and Methods: A total of 45 newly diagnosed, histologically proven non-metastatic NPC patients treated with IMRT between May 2010 and December 2012, were evaluated retrospectively, 37 planned with Eclipse and 8 with Prowess Panther treatment planning system. The doses to the planning target volumes of primary tumor and involved lymph nodes, high risk region, and uninvolved regional nodal areas were 70 Gy, 60 Gy, and 54 Gy respectively and delivered simultaneously over 33 fractions to 39 patients. Another 6 patients irradiated with sequential boost technique. Some 84.4% of patients received chemotherapy. Acute toxicities were graded according to the Radiation Therapy Oncology Group scoring criteria and Common Terminology Criteria for Adverse Events (CTCAE) for chemotherapy side effects. Results: Median age was 43 years (14-79) and all patients were WHO type II. Grade 1 mucositis and dysphagia were observed in 17 (37.8%), and 10 (22.2%) patients, respectively. The incidence of acute grade 2 mucositis and dysphagia was 55.6% and 68.9%, respectively. The most common chemoradiotherapy related acute toxicities were nausea, leucopenia and thrombocytopenia. Grade 3 toxicity was detected in 13 (28.8%) cases. No grade 4 toxicity was occurred. Mean weight loss was 9%. None of the patients required the insertion of percutaneous endoscopic gastrostomy for nutritional support. Radiation therapy was completed without interruption in all patients. Conclusions: IMRT is a safe and effective treatment modality, and well tolerated by patients in the treatment of nasopharyngeal carcinoma. No unexpected side effects were observed.

• 농촌계획
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• 제2권1호
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• pp.69-78
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• 1996

Environmental impact assessment survey reflecting farmers` opinion on the residence and production space in rural settlement area by ORD showed that more than 86% of respondents thought their reservoirs and waterways (small rivers) were getting seriously contaminated primarily by garbage and livestock manure. A typical rural settlement unit was taken to assess the impact of improper management of livestock manure in the farms on the water quality of small river flowing down along the villages where swine and dairy farms were situated in Daejook 2, 3-ri, Seolseong-myun, Icheon-gun. Nitrogen compounds such as NO$_3$-N, NO$_2$-N, NH$_3$-N, and phosphorus compound H$_x$PO$_4$, DO, BOD$_5$, COD, and microbial density were analyzed to evaluate water quality at five test sites designated along the water stream. Tests showed. for example, BOD$_5$ at site 4 was average 9.2mg/l which was about 3~8 times higher than that of observation site 2 and 3, at which most livestock houses were situated. This is a clear evidence that the nutrients of livestock manure illegally discharged to small river can lead to an eutrophication of the river at downstream. A soil absorption system with aeration could be one of alternatives to treat the contaminated wastewater by livestock manure. The place at downstream, inbetween observation site 1 and 2, could be the best construction site for the treatment facility from the standpoint of the overall treatment efficiency, An enclosed composting system can also be regarded as a good alternative for treatment of the sludge which is the by-product of the soil absorption system operation.

• 한국의학물리학회지:의학물리
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• 제13권2호
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• pp.104-108
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• 2002

세기조절방사선치료(Intensity Modulated Radiation Therapy, IMRT)는 기존의 방사선치료에 비해 암조직에는 더 많은 선량을 조사하면서, 주위 정상조직과 중요 장기에는 더 적은 선량이 조사되게 하는 가장 이상적인 치료법 중 하나로 알려져 있다. 뇌종양에서 치료계획자의 의도대로 세기조절방사선치료계획을 시행하여 4 MV, 6 MV, 15 MV의 에너지에 따른 선량분포 특성과 DVH를 살펴보았다. 종양 표적이 있는 오른쪽 뇌간에서 최대 조사선량은 4 MV, 6 MV, 15 MV에서 4 MV에 대해 10.1％, 8.4％의 차이를, 오른쪽 눈에서는 5.2％, 2.7％의 차이를 나타내고 있지만, 왼쪽 뇌간과 눈, 그리고 시신경 교차와 뇌간은 1.7％에서 5.2％의 차이를 나타내었다. 뇌종양에서 세기조절방사선치료계획을 수행한 결과 4 MV, 6 MV, 15 MV의 에너지의 차이에 따른 선량분포특성과 DVH를 비교검토 해본 결과 PTV와 특정 장기에 조사되는 방사선량이 1.7％에서 10.1％ 까지 차이를 나타내었지만, 이것은 한 지점에 조사되는 선량이며, 전체적인 비교에서 본다면 세기방사선치료계획을 시행한 9문 조사에서 에너지의 의존성이 없는 것으로 사료된다.

• 한국과학교육학회지
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• 제23권1호
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• pp.57-65
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• 2003

이 연구에서는 계획과 검토 단계를 강조한 4단계 문제 해결 전략을 사용하는 해결자 청취자 활동에서 내 외향성에 따른 소집단 구성의 효과를 조사하였다. 수업 전 고등학교 이과 2학년 3개 학급(N=87)을 대상으로 내 외향성 검사를 실시한 후, 내 외향성 동질 집단과 이질 집단, 그리고 통제 집단으로 무선 배치하였다. 연구 결과, 화학 문제 해결력 검사의 점수는 두 처치 집단이 통제 집단보다 유의미하게 높았으나, 학습 곤란도와 자야효능감에서는 집단 간 유의미한 차이가 없었다. 수업 처치에 대한 의식의 하위 항목들에서는 두 처치 집단 간 유의미한 차이가 없었으나, 청취자의 역할 수행에 대한 인식, 문제 해결 전략과 해결자 청취자 활동에 대한 선호도에서 외향적인 학생의 점수가 내향적인 학생의 점수에 비해 유의미하게 높았다.

• Journal of Yeungnam Medical Science
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• 제18권2호
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• pp.208-214
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• 2001

성장기 3급 부정 교합인 남아 20명의 두부계측방사선 사진을 Harvold 분석법을 중심으로 하여 정상 대조군과 비교하여 다음과 같은 결론을 얻었다. 상하악간 상대적인 길이 차를 나타내는 악간 길이 차는 3급 부정교합자군에서 유의하게 더 크게 나타났다(p<0.05). 전하안면 고경은 3급 부정교합군에서 정상교합군보다 더 크게 나타났으나, 통계적으로 유의한 차는 없었다.

• 환경영향평가
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• 제11권1호
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• pp.25-36
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• 2002

The purpose of this study is to assess the environmental carrying capacity of Chongju City for the environmental management and the urban growth management. The urban environmental carrying capacity assessment of the city by the index of ecological footprint(EF), shows that the ecosystem of the city has been overloaded and most of the deficiencies has come from outside of the city. The EF index, the area of land per capita required for production and consumption in the city, was 1.731 ha per capita in 1989 and 1.901 ha per capita in 1999. On the other side, the ecologically productive land is 0.0175 ha per capita. It means that every citizen owes 1.88 ha per capita to the ecosystem in 1999. The land consumption of the city has increased by 0.1705 ha per capita during the last 10 years. The capacity of infrastructure and the service supply estimated by the Onishi model does not exceed the demand of the city in 1999. But the rapidly increasing population and fast urban growth need the expansion of the capacity. The water supply capacity of the city appears to be sufficient in 1999, but the water supply demand will increase in the future. The capacity of sewage treatment facilities seems to be sufficient, but the higher level of sewage treatment facilities should be adopted for the improvement of water quality as the generation of sewage will increase and its characteristics will also make the wastewater treatment difficult. Due to the decrease of solid waste generated, the land fill capacity for solid waste disposal is not insufficient at present, but the capacity will be saturated in the near future. Therefore, the scientific management system of solid wastes should be introduced. The air quality of the city meets both the national air quality standard and WHO recommendation standard, but the strong regulation and control of automobile emission gas such as CO, $CO_2$, NOx and HC is required for clean air.

• 한국의학물리학회지:의학물리
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• 제32권1호
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• pp.18-24
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• 2021

Purpose: Kilovoltage computed tomography (kV-CT) is essential for radiation treatment planning. However, kV-CT images are significantly distorted by artifacts when a metallic prosthesis is present in the patient's body. Thus, the accuracies of target delineation and treatment dose calculation are inevitably lowered. We evaluated the accuracy of the calculated doses using an image restoration method with hybrid CT, which was introduced in our previous study. Methods: A cylindrical phantom containing four metals, namely, silver, copper, tin, and tungsten, was scanned using kV-CT and megavoltage CT to produce hybrid CT images. We created six verification plans for three head and neck patients on kV-CT and hybrid CT images of the phantom and calculated their doses. The actual doses were measured with film patches during beam delivery using tomotherapy. We used the gamma evaluation method to compare dose distribution between kV-CT and hybrid CT with three gamma criteria, namely, 3%/3 mm, 2%/2 mm, and 1%/1 mm. Results: The gamma pass rates decreased as the gamma criteria were strengthened, and the pass rate of hybrid CT was higher than that of kV-CT in all cases. When the 1%/1 mm criterion was used, the difference in gamma pass rates between them was up to 13%p. Conclusions: According to our findings, we expect that the use of hybrid CT can be a suitable approach to avoid the effect of severe metal artifacts on the accuracy of dose calculation and contouring.

• 한국의학물리학회:학술대회논문집
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• 한국의학물리학회 2002년도 Proceedings
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• pp.450-453
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• 2002

In radiotherapy treatment planning, it is critical to deliver the radiation dose to tumor and protect surrounding normal tissue. Recent developments in functional imaging and radiotherapy treatment technology have been raising chances to control tumor saving normal tissues. A brain phantom which could be used for image registration technique of CT-MR and CT-SPECT images using surface matching was developed. The brain phantom was specially designed to obtain imaging dataset of CT, MR, and SPECT. The phantom had an external frame with 4 N-shaped pipes filled with acryl rods, Pb rods for CT, MR, and SPECT imaging, respectively. 8 acrylic pipes were inserted into the empty space of the brain phantom to be imaged for geometric evaluation of the matching. For an optimization algorithm of image registration, we used Downhill simplex algorithm suggested as a fast surface matching algorithm. Accuracy of image fusion was assessed by the comparison between the center points of the section of N-shaped bars in the external frame and the inserted pipes of the phantom and minimized cost functions of the optimization algorithm. Technique with partially transparent, mixed images using color on gray was used for visual assessment of the image registration process. The errors of image registration of CT-MR and CT-SPECT were within 2mm and 4mm, respectively. Since these errors were considered within a reasonable margin from the phantom study, the phantom is expected to be used for conventional image registration between multimodal image datasets..