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Customer Acceptance Procedure for Clinac (21EX-Platinum)

  • Hong, Dong-Ki;Lee, Woo-Seok;Kwon, Kyung-Tae;Park, Kwang-Ho;Kim, Chung-Man
    • The Journal of Korean Society for Radiation Therapy
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    • v.16 no.2
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    • pp.43-61
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    • 2004
  • Purpose : For qualify improvement in radiotherapy, it is important to set up and evaluate equipment (linac) accurately. In addition, technicians are needed to be fully aware of the equipment's detailed quality and its manual. Therefore, the result of ATP is evaluated and introduced, in order that the technicians are skilled by participating in quality assurance (QA) and understanding the quality of the equipment before clinical use. Method and Material : QA for LINAC 21EX (Varian, US) was done with suppliers its procedure was divided into radiation survey, mechanical test, radiation isocenter test, bean performance, dosimetry, and enhanced dynamic wedge and using X-omat film (Kodak), multidata, densitometer, and electrometer. QA of MLC (Millennium, 120 leaf) attached to LINAC and EPID (Portal vision) were done separately. Result : The leakage dose by survey meter was below the tolerance. In mechanical test, collimater, gantry, and couch rotation were less than 1mm, and the angles were ${\pm}0.1^{\circ}$ for digital and ${\pm}0.5^{\circ}$ for mechanical. The alignment test of the light field and crosshair were evaluated less than 1mm. The (a)symmetrical jaw field was less than ${\pm}0.5mm$. The radiation isocenter test using X-mat film was less than 1mm. The consistency of light field and radiation field was less than ${\pm}0.1mm$. PDD for photon energy was less than ${\pm}1\%$ and for electron energy of $90\%,\;80\%,\;50\%,\;and\;30\%$ were evaluated within the tolerance. Flatness for photon and electron energy was evaluated $2.3\%$ (tolerance $3\%$) and $3\%$ (tolerance $4.5\%$), respectively, and symmetry was $0.45\%$ (tolerance $2\%$) and $0.3\%$ (tolerance $2\%$), respectively. Dosimetry test for short term, MU setting, rep rate, and dose rate accuracy of photon and electron energy was within the tolerance depending on energy, MU, and gantry angle. Conclusion : Accuracy and safety for clinical use of Clinac 21EX was verified through customer acceptance procedure and the quality of the equipment was found out. These can reduce the difficulties in using the equipment. Furthermore, it is useful for clinically treatment of patients by technicians' active participations.

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Comparison of Volumetric Modulated Arc Therapy and Non-coplanar Fixed-field Intensity Modulated Radiation Therapy for Irregular Target adjacent to Organ At Risk (손상위험장기에 인접한 불규칙한 모양의 타겟 치료 시, 용적변조회전 방사선치료와 비동일평면상의 빔을 이용한 세기변조 방사선치료의 유용성 평가 및 비교)

  • Kim, Kyung Ah;Na, Kyung Soo;Seo, Seok Jin;Lee, Je Hee
    • The Journal of Korean Society for Radiation Therapy
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    • v.29 no.1
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    • pp.57-68
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    • 2017
  • Purpose: The purpose of this study was to compare volumetric modulated arc therapy(VMAT) with fixed-field intensity modulated radiation therapy(IMRT) using non-coplanar beam when the shape of target is irregular and the location is adjacent to organ at risk(OAR). Materials and Methods: The subjects of this study were a total of 6 patients who had radiation therapy for whole scalp(2 patients), partial scalp(2 patients), and whole ventricle(2 patients) by True Beam STX(Varian Medical Systems, USA). VMAT plans consisted of coplanar or non-coplanar arcs which can minimize the volume of OAR included in beamlets. All fixed-field IMRT plans consisted of non-coplanar beams using more than 2 angles of Couch. Results: The VMAT and IMRT plans were compared with regard to the maximum dose of both lens, both optic nerves, optic chiasm, and brain stem and the mean dose of both eyeballs and hippocampus. VMAT plans showed higher dose than ncIMRT plans at more than 6 of all OARs in every patient, and the ratio was from 1.1 times to 8.2 times. In case of total scalp and partial scalp, the volume of brain which received more than 20 Gy in the VMAT plans was 2 times larger than the volume in the ncIMRT plans. In case of whole ventricle, there was no significant difference. Target coverage was satisfied in both plans($PTV_{100%}=95%$). The maximum dose in target volume and required monitor unit(MU) of ncIMRT were higher than them of VMAT plans. Conclusion: Even though ncIMRT is less efficient than VMAT with regard to required MU and treatment time, the dose to OARs is much lower than VMAT and PTV Coverage is similar with VMAT. If the shape of target is irregular and location is adjacent to OAR, comparison VMAT plan with ncIMRT plan deserves to be considered.

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Osteochondral Ridge of Ankle Joint - Anterior Impingement Syndrome of Ankle Joint - (족관절의 골-연골성 골극증 - 족관절 전방 충돌 증후군 -)

  • Rhee Seung-Koo;Woo Young-Kyun;Song Seok-Whan;Kwon Soon-Yong;Lee Wha-Sung;Chung Jin-Wha;Oh Jae-Chan
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.1 no.1
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    • pp.71-74
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    • 2002
  • Purpose : To evaluate the clinical and radiological characteristics of osteochondral ridges of talus and ankle. Materials and Methods : We have analyzed their clinical symptoms and signs, radiologic and CT findings and post-operative results in 17 ankle joints of 14 patients (bilateral in 3), followed them for average 13 months after surgical excision. Results : No definite trauma, but mostly in male after middle age. Their chief complaints are pain on ankle, especially in dorsiflexion or squatting position, and symptom durations are very long, more than average 15 months. Definite diagnosis was made by lateral radiograms of ankle joint. Osteochondral ridges are common in talar neck (10 cases), tibia (4 cases) and both side (3 cases). After excision of osteophytes, all patients gained normal ankle without pain and any limited motion. Conclusions : Anterior impingement syndromes are common in middle aged male, but no definite correlation with sports. Plantar and dorsiflexed lateral radiographs are helpful in definite diagnosis for impingement, and surgical excision is best for treatment.

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Effect of xylobiose-sugar mixture on defecation frequency and symptoms in young women with constipation (자일로바이오스를 함유한 설탕이 젊은 여성의 변비 개선에 미치는 효과)

  • Lee, Jung-Sug;Kim, A-Reum;Nam, Hye-kyoung;Kyung, Myungok;Jo, Sung-Eun;Chang, Moon-Jeong
    • Journal of Nutrition and Health
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    • v.50 no.1
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    • pp.41-52
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    • 2017
  • Purpose: The objective of the study was to investigate the effects of xylobiose-sugar mixture intake on defecation frequency and constipation symptoms in 31 young women with constipation. Methods: Thirty-one subjects were assigned to two groups, and subjects in each group were administered 10 g of a 7% xylobiose-sugar mixture (Experiment 1: XBS, n = 15) or 10 g of a 7% xylobiose-sugar mixture containing coffee mix (Experiment 2: XBS coffee mix, n = 16) twice per day for 6 weeks. During the study, clinical efficacy was assessed by a daily diary record. The subjects recorded their defecation frequency and fecal characteristics. Results: During pretreatment week, mean defecation frequency of XBS subjects was 2.13 times/week, whereas that of XBS coffee mix subjects was 1.56 times/week. The mean defecation frequencies of XBS and XBS coffee mix subjects increased significantly to 3.73 times/week (p < 0.05) and 3.56 times/week by week 6 (p < 0.05), respectively. After treatment with either XBS or XBS coffee mix, patients presented significant improvements in their amounts of stool, feelings of residual stool leftness, and abdominal pain symptoms (p < 0.05). The total constipation scoring system (CSS) for diagnosing constipation symptoms significantly decreased in the XBS group (10.53 score vs 7.22 score) and in the XBS coffee mix group (10.75 score vs 6.51 score) after 6 weeks. Improvement due to intake of 7% xylobiose-containing sugar seemed to last during the experimental period. Conclusion: The addition of approximately 7% xylobiose to commercially available sweeteners has been shown to improve constipation.

Effect of moisture on sealing ability of root canal filling with different types of sealer through the glucose penetration model (수종의 실러를 이용한 근관 충전 시 근관 내 수분이 치근단 폐쇄효과에 미치는 영향)

  • Jang, Jin-Ah;Kim, Hee-Lyang;Her, Mi-Ja;Lee, Kwang-Won;Yu, Mi-Kyung
    • Restorative Dentistry and Endodontics
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    • v.35 no.5
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    • pp.335-343
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    • 2010
  • Objectives: To compared the effect of different levels of moisture of root canal on the sealing ability after filling with four different types of sealer. Materials and Methods: Single-rooted teeth (n = 90) instrumented to and apical size of 0.06 / 45 were randomly assigned to 12 experimental groups (n = 7 per group), positive/negative control groups (n = 3 per group). The teeth of the experimental groups (a. DRY; b. PAPER POINT DRY; c. WET) were obturated with sealer (Group 1-3: Sealapex; Group 4-6: AH plus; Group 7-9: Tubuli-seal; Group 10-12: EndoRez) and warm vertical compaction method. After 7 days in $37^{\circ}C$, 100% humidity, the coronal-to-apical microleakage was evaluated quantitatively using a glucose leakage model. The leaked glucose concentration was measured with spectrophotometer at 1, 3, 7, 14, 21, and 30 days. Data were recorded ad mmol/L and statistically analysed with the two-way ANOVA and Duncan test (p = 0.05). Results: Throughout the experimental period Tubuli-seal/WET (Group 9) showed the highest mean cumulative glucose penetration (178.75 mmol/L), whereas AH plus/DRY (Group 4) had the least (20.78 mmol/L). Conclusions: The results of this study demonstrated that the moisture condition of root canals at the time of obturation and the type of sealer that was used had a significant effect on leakage and sealing ability. Thus drying procedure according to sealer types is a critical step and should not be missed in endodontic treatment.

CHANGES IN μ-TBS TO PULP CHAMBER DENTIN AFTER THE APPLICATION OF NAOCL & REVERSAL EFFECT BY USING SODIUM ASCORBATE (NaOCl의 적용 후 치수강 상아질에 대한 결합강도의 변화와 Sodium Ascorbate에 의한 환원 효과)

  • Kwon, Su-Mi;Kim, Tae-Gun;Yu, Mi-Kyung;Lee, Kwang-Won
    • Restorative Dentistry and Endodontics
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    • v.34 no.6
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    • pp.515-525
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    • 2009
  • Clinical suggestion for the limitation of application time of NaOCl solution is needed to avoid large reductions in resin-dentin bond strength. The aim of this study was to measure the change of ${\mu}$-tensile bond strength after the various application time of 5.25% NaOCl solution to pulp chamber dentin in endodontic access cavity, and to evaluate the effect of 10% sodium ascorbate application for 10 min on bond strength after the treatment of 5.25% NaOCl solution. In this experiment, there were no statistical differences(p > 0.05) in bond strengths between upper chamber dentin and lower chamber dentin. NaOCl-treated group for 20 min did not show any significant decrease(p > 0.05) in bond strength than non-treated control group. In contrast to that, bond strengths of NaOCl-treated groups for 40 & 80 min were significantly lower(p < 0.05) than that of non-treated control group. 10% sodium ascorbate retreated group for 10 min after 5.25% NaOCl application for 40 min to chamber dentin showed the recovery of bond strength significantly. However, the bond strength of sodium ascorbate retreated group after 5.25% NaOCl application for 80 min was still significantly lower(p < 0.05) compared to the non-treated control group, which means the reductions in resin-dentin bond strength were not fully reversed. On the contrary, sodium ascorbate retreated group after 5.25% NaOCl application for 5 min showed significantly higher(p < 0.05) bond strength compared to the control group, which demonstrates its superior recovery effect. In SEM exminations of specimens retreated with 10% sodium ascorbate after NaOCl application for 40 & 80 min showed that resin tags were formed clearly and densely, but weakly in density and homogeneity of individual resin tag compared to the control specimen.

Comparative Studies on the Constitution and Growth of Rice Plant between Japonica- and Tonsil-Type Cultivars under Different Fertilization - Part 1. Varietal Differences in the Response of the Planting Date and Fertilizer Level to the Yield ana Yield Components of Paddy Rice - (수도체(水稻體)의 형성(形成)과 발육상(發育相)에 대한 영양학적(營養學的) 비교연구(比較硏究) - 제1보. 시비수준(施肥水準)과 재배시기(裁培時期)의 차이(差異)가 수도(水稻)의 품종별(品種別) 수량(收量)및 수량구성요소(收量構成要素)에 미치는 영향 -)

  • Lim, Sun-Uk;Lee, Hong-Suk;Lee, Ke-Ho
    • Applied Biological Chemistry
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    • v.22 no.3
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    • pp.181-189
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    • 1979
  • In order to establish fertilizing technique for the increase of grain yield and its stability, the total absorbed amount of nutrients and nutritional status of rice plants at different growth stages were studied with respect to the nutrient contents and its relation to grain yield and yield components. This experiment was carried at three different level of nitrogen fertilization; two different seeding and transplanting times, and eight cultivars including both Japonica-and Tongil-type. The results of a part of these experiments are summarized as fallows: 1. The culm length tended to Increase with increasing fertilizer amount, but no significant difference between ordinary and heavy fertilization was observed in Tongil-type cultivars. 2. The panicle length was some what longer in ordinary and heavy fertilization than non-fertilization. 3. As the N-fertilizer level increases, the number of panicles per plant increased with higher response in Japonica-type cultivars than in Tongil-type cultivars. 4. The number of grains per panicle increased significantly in ordinary and heavy fertilization, compared to non-fertilization, but the difference in grain number per panicle among fertilizer treatment was smaller in Japonica-type cultivars than Tongil-type. 5. The 1,000 grains weight showed no significant difference among fertilization levels in ordinary transplanting, but indicated gradual decreasing tendency as the transplanting delayed. 6. In percentage of ripeness, there was no significant difference in ordinary transplanting, but hightly significant in late transplanting among N-fertilization levels and cultivars. 7. In yield, highly significant difference was shown among N-fertilizer levels and cultivars In Tongil-type variety, higher yield was obtained in ordinary fertilization than heavy fertilization. 8. The straw weight showed the tendency to increase in higher nitrogen level, but no significant difference between ordinaly and heavy fertilization was observed in Tonsil-type cultivars.

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Characteristics of Tillering as Affected by Light intensity in Dasanbyeo, an Indica/Japonica High Yielding Rice Cultivar (광도 변화에 따른 다산벼의 분얼경 발생 특성)

  • 김덕수;양원하;신진철;김제규;류점호
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.4 no.3
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    • pp.151-158
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    • 2002
  • In Korean high yielding varieties developed by crosses between indica and japonica rice, the most limiting factor for yield increase may be attributed to the less number of tillers per unit area. The goal of this study is to find out the effect of the environmental factors as well as cultivation practice on the development and increase of tillers of Dasanbyeo, the high yielding indica / japonica hybrid cultivar. The effect of temperature was examined with 3 different light intensity, 220,600, and 1220 $\mu$㏖/s/$m^2$, respectively. For all the experiments, the leading japonica variety in Korea, Hwaseongbyeo, was used fur the check cultivar for the comparison with Dasanbyeo. The increase of the tillers was more prominent in Dasanbyeo than in Hwaseongbyeo at 220 $\mu$㏖/s/$m^2$ of light intensity, while the similar increase of tiller no. was found at 600 $\mu$㏖/s/$m^2$ of light intensity treatment. However, Hwaseongbyeo showed more rapid increase of tiller at 1220 $\mu$㏖/s/$m^2$ of light intensity. The mean number of the primary tiller ranged 5 to 7 in Dasanbyeo, and 2 to 7 in Hwaseongbyeo, showing greater variation in the latter case. However, the secondary tiller number ranged from 2 to 13 for the former, and 2 to 12 for the latter. The earliest initiation of tiller node of Dasanbyeo and Hwaseongbyeo was observed on 6 and 4 days after transplanting(DAT), respectively, at 600 $\mu$㏖/s/$m^2$ of light intensity, while 10, and 7 DAT, respectively, at 1,220 $\mu$㏖/s/$m^2$. No cultivar difference was observed at 600 $\mu$㏖/s/$m^2$ with the 18 DAT. The ratio of effective tiller was lower in Dasanbyeo, ranging from 47 to 55% than in Hwaseongbyeo, ranging from 72 to 100%.

Solubility Improvement of Cuttle Bone Powder Using Organic Acids (유기산처리에 의한 갑오징어갑 분말의 가용성 개선)

  • KIM Jin-Soo;CHO Moon-LAE;HEU Min-Soo;CHO Tae-Jong;AN Hwa-Jin;CHA Yong-Jun
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.36 no.1
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    • pp.11-17
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    • 2003
  • As a pan of a study on effective use of seafood processing by-products, such as cuttle bone as a calcium source, we examined on the kind of organic acid (acetic acid and lactic acid), reaction concentration (mole ratio of calcium to mole of organic acid), reaction temperature $(20\~60^{\circ}C)$ and reaction time (6$\~$24 hours) as reaction conditions for the solubility improvement of cuttle bone powder. The high soluble cuttle bone powder was also prepared from the optimal reaction conditions and partially characterized. From the results on examination of reaction conditions, the high soluble cuttle bone powder was prepared with 0.4 in mole ratio of a calcium to mole of a acetic acid at room temperature for 12 hours, Judging from the patterns of IR and X-ray diffraction, the main component of the high soluble cuttle bone powder was presented as a form of calcium acetate, and a scanning electron micrograph showed an irregular form. The soluble calcium content in the high soluble cuttle bone powder was $5.3\%$ and it was improved about 1,380 times compared to a raw cuttle bone powder. For the effective use of the high soluble cuttle bone powder as a material for a functional improvement in processing, it should be used after the calcium treatment at room temperature for about 1 hour in tap water or distilled water. from these results, we concluded that it is possible to use the high soluble cut시e bone powder as a material for a functional improvement in processing.

EFFECT OF ACID-TREATMENT ON DENTIN BONDING (산 처리가 상아질 접착에 미치는 영향)

  • Kim, Young-Kyong;Kim, Sung-Kyo;Park, Jin-Hoon
    • Restorative Dentistry and Endodontics
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    • v.18 no.1
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    • pp.73-83
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    • 1993
  • The purpose of this study was to evaluate the effect of various acid treatments on dentin bonding. Freshly extracted human teeth were uprightly embedded in self curing acrylic resin, and their occlusal surfaces were grinded to expose flat dentin surfaces. The specimens were divided into 4 groups. Specimens of one group were not treated so as to be a control and those of the other three groups were threated with 10% polyacrylic acid, 10% phosphoric acid, and 10-3 solution(10% citric acid/3% ferric chloride) respectively. Primer, bonding resin and composite resin were applied over the treated dentin surfaces sequentially. All specimens were stored in $37^{\circ}C$ distilled water for 24 hours, then the tensile bond strength was measured and the treated dentin surfaces and fracured dentin surfaces were examined under a scanning electron microscope. The results were as follows: Bond strengths of acid-treated groups were higher than those of the untreated group. In the acid-treated groups, bond strength was found to be the highest in the 10-3 solution group followed by the 10% phosphoric acid group and the 10% polyacrylic acid group(P<0.01). On SEM examination of dentin surfaces, the untreated dentin surface showed a remaining smear layer and closed dentinal tubules. Dentin surfaces treated with 10 % polyacrylic acid showed a clean dentin surface without the smear layer, but showed remaining smear plugs in dentinal tubules. A dentin surface treated with 10% phosphoric acid or 10-3 solution showed open dentinal tubules without the smear layer or smear plugs. On SEM observation of the fractured dentin-resin interface, the untreated group showed that failure occurred in the smear layer. The group treated with 10% polyacrylic acid showed no resin tag remained in the dentinal tubules, but resin tags in the dentinal tubules were observed in the group treated with the 10% phosphoric acid or the 10-3 solution. On the failure mode examination, the higher the bond strength of the group, the higher the frequency of cohesive failure. The coefficient between bond strength and cohesive failure rate was 0.71.

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