• 제목/요약/키워드: weekly periodic

검색결과 18건 처리시간 0.023초

방사선치료계획 시스템의 정도관리 절차서 개발 및 유용성 평가 (Development and Evaluation of Quality Assurance Worksheet for the Radiation Treatment Planning System)

  • 조광환;최진호;신동오;권수일;최두호;김용호;이상훈
    • 한국의학물리학회지:의학물리
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    • 제15권4호
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    • pp.186-191
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    • 2004
  • 방사선 치료에서 각 방사선치료 관련 장비의 주기적인 정도관리는 매우 중요하나, 방사선 발생장치에 비하여 방사선치료계획시스템(RTPS)에 대한 정도관리는 아직 미흡한 상태이다. 따라서 본 연구에서는 방사선치료계획시스템의 정도 관리를 위해서 주기적인 정도관리 항목을 제시하고, 수행함으로써 국내에서 사용하고 있는 치료계획시스템들의 성능을 비교, 평가해보고자 한다. 정도관리 항목은 입ㆍ출력 장치와 같은 비 선량학적 측면과 선량계산 결과에 관련된 선량학적 측면으로 크게 분류하였고, 수행 시간, 에러 발생률, 중요도에 따라서 주간, 월간, 연간, 비정기적으로 분류하였다. 불균질 상태를 모사한 물 등가 고체팬톰을 컴퓨터단층 촬영하여 영상을 얻었으며, RTPS에 입력하여 정도관리를 수행하였다. 입출력 장치는 장비의 오작동 여부를 점검하고 입출력 후 실제 영상과의 크기 차이를 비교하였고, 선량계산 항목은 정방형 조사면, 부정형 조사면, 쐐기 조사면, 불균질 물질 보정, 사방향 조사 등에 대해 수행하였다. 에너지는 6 MV, 10 MV를 이용하여 이온검출기를 통해 기준점에서의 실제 측정값을 얻었고, 계산된 값과 실제 측정한 값을 비교하여 RTPS의 정확도를 평가하였다. 기하학적 정확도와 선량의 정확도를 평가한 결과 선진 각국 및 각 학회에서 권고하고 있는 허용 범위 내에서 대부분 일치하였다. 따라서 방사선치료의 성적을 향상시키기 위해서 주기적인 정도관리가 요구되며, 본 연구결과를 토대로 RTPS의 정확성을 평가하기 위하여 국내 실정에 적합한 주기적인 정도관리 프로그램을 제시할 수 있을 것으로 생각된다.

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마산만 식물플랑크톤의 단기적 변화양상 : 1. 동태 (Short Term variability of the Phytoplankton Populations in Masan Bay: I. Dynamics)

  • 배세진;유신재
    • 한국해양학회지
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    • 제26권1호
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    • pp.67-76
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    • 1991
  • 마산만은 부영영화의 영향으로 적조와 무산소층이 빈발하는 해역으로 알려져 있 다. 이 해역의 빠른 turnover rate를 고려할 때 보다 짧은 관측 간격을 필요로 하므 르, 1988년 여름 장마 직후 16일간 일일관측을 실시하였다. 비교적 짧은 조사기간에도 불구하고 식물플랑크톤의 양 및 조성에 큰 변화가 있었다. 세포수와 클로로필 농도는 각각 70, 10배의 변화폭을 보였다. 식물플랑크톤 현존량의 첫 번째 최고점에서는 규조 류인 Skeletonema costatum이 압도적 우점종으로 나타났고, 이는 약 1주일 후의 두 번 째 최고점에서 Prorocentrum minimum으로 우점종의 천이가 일어났다. 이러한 변화의 시간 규모로 볼 때 마산만과 같은 복잡한 연안환경에서는 적어도 1주 간격의 조사가 고려되어야 할 것이다. 성층은 표층에서 높은 성장을 가능하게 했던 반면, 저층에서 표층으로의 규산염 공급을 방해하여 규조류의 지속적인 성장을 제한한 것으로 보인다. 표층에서 잇따라 일어났던 규산염 및 규조류 양의 두 번째 최고점은 조류 (tidal current)에 의한 저층으로부터 불연속면을 거쳐 일어나는 규산염의 주기적 (flux)를 시사한다.

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Dietary Protein Restriction on Growth and Immuno-biochemical Response of Crossbred Calves during Post-ruminant Phase of Life

  • Sahoo, A.;Mishra, S.C.;Pathak, N.N.
    • Asian-Australasian Journal of Animal Sciences
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    • 제15권8호
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    • pp.1121-1127
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    • 2002
  • Sixteen crossbred (Bos indicus${\times}$Bos taurus) calves were randomly distributed in two groups (NP and LP) of eight calves each to study the effect of restricted (75%) protein supply on growth and immuno-biochemical response as an indicator of production and health of under-nourished animals during 3 to 9 months of age. The normal requirement of protein was provided to group NP and a less of 25% to group LP through calculated amount of concentrate and roughage in their daily ration. Assessment was made for weekly change in live weight, periodic alteration in blood metabolites and immunological status at six months of age in calves. An initial (during 3 to 6 months of age) depression (p<0.05) in growth was seen in low protein fed group (LP) compared to NP, which became non-significant in the later period of life (6 to 9 months of age). There was no significant effect on haemoglobin, total protein, albumin and globulin concentration except that of urea, which was decreased significantly (p<0.05) in animals fed on low protein diet ($19.83{\pm}1.25$ vs $25.93{\pm}1.29mg/dl$). The treatment effect that was seen in different periods of life was not uniform for other parameters except for urea, which showed a regular depression in LP compared to NP. The assessment of immunological status by indirect haemagglutination (IHA) test against Pasteurella multocida (P52 strain) was considerably (p<0.05) reduced in animals on LP ration compared to those on NP. It is thus argued that with poor nutrition (low protein) and state of compromised immunological response the production and health of the animals will be adversely affected.

동물병원의 진단용 방사선 발생장치 및 방사선종사자 안전관리 실태 조사 (Radiation safety management for diagnostic radiation generators and employees in animal hospitals in Korea)

  • 안효진;김충현;권영진;김돈환;위성환;문진산
    • 대한수의학회지
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    • 제54권3호
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    • pp.151-157
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    • 2014
  • A nationwide survey on radiation safety management in Korean animal hospitals was conducted. By 2013, 53 radiation generators were registered as veterinary medical devices (41 X-ray generators and 12 computed tomography scanners). Additionally there were six approved laboratories for radiation equipment and protection facility, and five approved laboratories for radiation exposure of employees, respectively. By March 2013, 2,030 out of 3,829 animal hospitals operated radiation-generating devices. Among these devices, 389 (19.2%) out of 2,030 were not labeled with the model name and 746 (36.7%) were not labeled with production dates. Thus, most veterinary X-ray generators were outdated (42.6%) and needed replacements. When periodic inspections of 2,018 animal hospitals were performed after revision of the Veterinarians Act in 2011, the hospitals were found to be equipped with appropriate radiation generators and protection facilities. Among 2,545 employees exposed to radiation at the hospitals, 93.9% were veterinarians, 4.3% were animal nurse technicians, and 18% held other positions. Among 169 employees supervised by administrators, none of those had a weekly maximum operating load that exceeded $10mA{\cdot}min$. This study suggests that the radiation safety management system of animal hospitals was general good.

일개 사업장 간장질환 유소견자 보건교육의 효과 (Effects of Providing Health Education to Workers for the Management of Liver Disease Screened by Periodic Health Surveys)

  • 이미라;김진석
    • 한국직업건강간호학회지
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    • 제22권4호
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    • pp.324-333
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    • 2013
  • Purpose: This study was conducted to compare the changes in the levels of liver enzymes after providing health education to workers. Methods: Among 909 electronics-manufacturing workers, 96 (10.6%) workers had abnormal liver functions. Of these, male workers were randomly assigned into either the health education experimental group (48 [52.2%]) or the control group (44 [47.8%]). Depending on the level of participation in the health education, workers in the experimental group were classified into the participation (32 [34.8%]) and non-participation groups (16 [17.4%]). Changes in the levels of liver enzymes were compared among three groups. Results: The changes in the levels of gamma-glutamyltransferase (r-GTP) in the participation, non-participation, and control groups were $-25.3{\pm}54.5$ IU/L, $-4.4{\pm}24.1$ IU/L, and $-5.3{\pm}38.8$ IU/L, respectively (p=.036). Aspartate transaminase, alanine transaminase, waist circumference, body mass index, daily alcohol consumption, weekly exercise, and changes in smoking habits in the 3 groups did not differ significantly. In the multiple linear regression analysis, the variable of education participation revealed a significant regression coefficient of -25.10 when the change in r-GTP levels was the dependent variable. Conclusion: A brief health education targeted towards the management of liver disease among workers improved r-GTP levels.

Estimating Influenza-associated Mortality in Korea: The 2009-2016 Seasons

  • Hong, Kwan;Sohn, Sangho;Chun, Byung Chul
    • Journal of Preventive Medicine and Public Health
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    • 제52권5호
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    • pp.308-315
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    • 2019
  • Objectives: Estimating influenza-associated mortality is important since seasonal influenza affects persons of all ages, causing severe illness or death. This study aimed to estimate influenza-associated mortality, considering both periodic changes and age-specific mortality by influenza subtypes. Methods: Using the Microdata Integrated Service from Statistics Korea, we collected weekly mortality data including cause of death. Laboratory surveillance data of respiratory viruses from 2009 to 2016 were obtained from the Korea Centers for Disease Control and Prevention. After adjusting for the annual age-specific population size, we used a negative binomial regression model by age group and influenza subtype. Results: Overall, 1 859 890 deaths were observed and the average rate of influenza virus positivity was 14.7% (standard deviation [SD], 5.8), with the following subtype distribution: A(H1N1), 5.0% (SD, 5.8); A(H3N2), 4.4% (SD, 3.4); and B, 5.3% (SD, 3.7). As a result, among individuals under 65 years old, 6774 (0.51%) all-cause deaths, 2521 (3.05%) respiratory or circulatory deaths, and 1048 (18.23%) influenza or pneumonia deaths were estimated. Among those 65 years of age or older, 30 414 (2.27%) all-cause deaths, 16 411 (3.42%) respiratory or circulatory deaths, and 4906 (6.87%) influenza or pneumonia deaths were estimated. Influenza A(H3N2) virus was the major contributor to influenza-associated all-cause and respiratory or circulatory deaths in both age groups. However, influenza A(H1N1) virus-associated influenza or pneumonia deaths were more common in those under 65 years old. Conclusions: Influenza-associated mortality was substantial during this period, especially in the elderly. By subtype, influenza A(H3N2) virus made the largest contribution to influenza-associated mortality.

마리화나 남용환자의 역동적인 발달요인과 문제해결 (Dynamic Developmental Factors and their Problem Solving of Patients that Abuse Marihuana)

  • 원정숙
    • 대한간호학회지
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    • 제4권3호
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    • pp.105-116
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    • 1974
  • This study was made on patients who were Hospitalized due to sickness caused by the abuse of marihuana at the Psychiatric Section of a hospital during the period from Feb. to Oct., 1974. The following conclusion was obtained by reviewing the literature with respect to the nursing, and problem solving of those patients. 1. It appears that marihuana is a comparatively mild intoxicant in ordinary preparation without causing physical dependence or tolerance. 2. According to the status of men who are marihuana smokers, approximately 20% of them were college students, those preparing to retake college entrance examinations, non-employed and pharmacists. The men belong mostly to the middle foreigner′s mistress of higher, income bracket, and in the case of women, most of the smokers were US. servicemen entertainers. 3. Dynamic developmental factors: Case 1. : The patient had a characteristic, hysterical and emotionally unitable character, and was of low intelligence, In addition, to this already existing problem, the added uses of marihuana caused a mental illness to develope. Case 2 : The character, was reserved and introspective, her creative power and sentiment was fading and his ability of self-control was weakened. She used the smoking of marihuana to get rid of her own feeling of inferiority complex and tensions coming from interpersonal relationships. Case 3 : The patient was unconditionally resistive to the authoritativeness of superiors and irresponsible in his relationship with women, in his attitude concerning sex in general. He smoked marihuana because he felt become peace-loving and get enchanted experience through smoking it. 4. The points of issue appearing from the above case; (1) Movement of anti-social feelings against the "established system" by the youngsters. (2) Family problem. (3) Shamelessness, loss of motivation, disorderly attitude toward the sex, (4) Worries concerning the future. (5) Lack of knowledge concerning smoking of cigarette and marihuana. Chronic use of marihuana made, those youngman who had originally been ambitions to achieve something in life, lazy, inefficient, unable to make long-term plans, are such weak mined persons that they did not try to overcome problems when encountered. This will pose a great and important question in the mental health of the society, 5. Treatment and Problem sieving According to the literature, we will have to place importance upon hospitalized treatment The phases of treatment were divided into five parts. (1) Prehospital phase (2) Withdrawal Phase (3) Rehabilitation phase (4) Transitional phase (5) After-care phase The experiments have proved that there was much progress in the recovery of patients through environment therapy, supportive therapy and group psychotherapy. This was the above mentioned 5 phases of treating process in accordance with the weekly schedule of the hospital. It was thought that the patients would require prolonged after care management even after they were released from the hospital and that they will also require periodic visit, to the hospital and doctor′s interview with their family. In conclusion, the question of the young generation and marihuana smoking is becoming a great social problem in which their resistances to the "established system" and society is growing in the from of antiestablishment movements. In our country, the smoking of marihuana is gradually developing, therefore, I think, that it would be a very fortunate thing for us, if this report could be helpful for the motivation of further study on the questions of the young generation and its problems.

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유치원·학교 구성원의 코로나19 신속항원검사 결과(2022년 3월 2일부터 5월 1일까지) (COVID-19 Rapid Antigen Test Results in Preschool and School (March 2 to May 1, 2022))

  • 윤고운;박영준;장은정;이상은;김류경;정희권;곽진
    • Pediatric Infection and Vaccine
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    • 제31권1호
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    • pp.113-121
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    • 2024
  • 목적: 코로나19 오미크론 변이 바이러스 확진자 급증에 따라 질병관리청과 교육부는 유치원·학교 구성원을 대상으로 선제검사를 시행하였다. 정상적인 학교생활을 영위하기 위해 자가진단용 신속항원검사 (rapid antigen test, RAT)를 이용하여 코로나19 확진자를 교내 전파가 이루어지기 전에 발견하는데 목적이 있다. 방법: 2022년 3월 2일부터 5월 1일까지전국의유치원·학교의구성원을대상으로검사인원 19,458,575명, 검사건수 50,675,386건을 수집하였다. 건강상태 자가진단 앱에 입력된 결과를 코로나19정보관리시스템 확진자 현황 정보와 병합하여 RAT 양성률과 양성예측도를 분석하였다. 결과: 주간 RAT 양성률은 1.11-5.90%, 양성예측도는 86.42-93.18%였다. 신분별 RAT 양성률은 학생이 1.13-6.16%, 양성예측도는 87.19-94.03%, 교직원 RAT 양성률 0.99-3.93%, 양성예측도는 77.55-83.10%였다. 증상 유무에 따른 RAT 양성률은 의심 증상이 있는 경우 76.32-88.02%, 의심 증상이 없는 경우 0.34-1.11%, 양성예측도는 의심 증상이 있는 경우 79.54-95.49%, 의심 증상이 없는 경우 64.66-87.84%이었다. 이번 유치원·학교 구성원의 RAT 선제 검사를 통하여 943,342명의 확진자를 교내 전파 이전에 신속하게 발견하였다. 결론: 자가진단용 RAT를 잘 활용하면 확진자를 신속하게 발견하는데 도움이 되어 유치원·학교에서는 교육 공백을 최소화할 수 있고, 전파의 위험도 줄일 수 있을 것이다. 장시간 동안 정해진 공간에서 동일한 사람들과 반복적으로 노출되는 위험을 최소화하여 안전한 환경에서 학교생활이 유지될 수 있도록 노력해야 할 필요가 있다. 이러한 점에서 선제검사의 필요성은 더 중요하게 되었다. 이번 연구에서 자가진단용 RAT 검사는 선제적 선별검사 도구로써 유용성과 확진자를 신속하게 발견하는 데 활용될 수 있다는 것을 보여준다.