• Title/Summary/Keyword: 자연방사선

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Clinical Features of Infectious Ileocecitis in Children (소아 감염성 회장맹장염의 임상적 고찰)

  • Lee, Tae-Ho;Hong, Yoo-Rha;Yeon, Gyu-Min;Lee, Jun-Woo;Park, Jae-Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.13 no.1
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    • pp.30-35
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    • 2010
  • Purpose: Infectious ileocecitis is an infection confined to the ileocecal area and one of the most common causes of pediatric abdominal pain. This study was performed to demonstrate the clinical features of infectious ileocecitis in children. Methods: The medical records and radiologic findings of 37 patients with ileocecitis diagnosed by ultrasonography and/or computed tomography, who were admitted to Pusan National University Hospital from January 2004 and July 2008, were reviewed retrospectively. Viral gastroenteritis and secondary ileocecitis were excluded. Results: The mean age of the patients was 4.8${\pm}$3.4 years. One-half of the patients were preschool children. The chief complaint was abdominal pain (75.7%), diarrhea (10.8%), and vomiting (8.1%). Accompanying symptoms were fever (56.8%), vomiting (21.6%), and diarrhea (16.2%). The mean duration of abdominal pain, fever, diarrhea, and vomiting was 3.8${\pm}$2.1, 3.0${\pm}$1.9, 3.4${\pm}$1.9, and 2.4${\pm}$2.3 days, respectively. The frequency of diarrhea and vomiting was 5.8${\pm}$2.2 and 4.0${\pm}$2.8 per day, respectively. Diagnosis was made by abdominal ultrasonography in 22 patients (59.5%), abdominal CT in 2 patients (5.4%), and both modalities in 13 patients (35.1%). Besides the radiologic finding of thickening of the bowel wall, mesenteric lymphadenitis (59.5%), ascites (5.4%), and both mesenteric lymphadenitis and ascites (16.2%) were revealed. The mean duration of illness was 7.5${\pm}$5.0 days. There were no specific laboratory findings, and culture studies with stool or blood were negative. All of the patients recovered completely without specific treatment. Conclusion: Infectious ileocecitis has acute appendicitis-mimicking symptoms, but is self-limited within a few days, thus unnecessary treatment and work-up is avoided. However, distinguishing infectious ileocecitis from appendicitis, inflammatory bowel disease, and mesenteric lymphadenitis is important.

CONSIDERATIONS OF ANESTHETIC METHOD OF DEEP IMPACTED MESIODENS (심부 매복 정중 과잉치 수술 시 마취방법 선택)

  • Min, Soo-Young;Song, Je-Seon;Lee, Jae-Ho;Choi, Hyung-Jun;Son, Heung-Kyu;Kim, Seong-Oh
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.1
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    • pp.90-96
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    • 2012
  • Supernumerary tooth occurs most frequently at premaxilla area. Followed by mandibular premolar area, mandibular fourth molar area, maxillary paramolar area. Mesiodens are mainly impacted in the palatal area and surgical approach is made at palatal side. The time of surgery remains controversial. In case of inverted or horizontal impacted supernumerary tooth, intraosseous tooth movement and vertical growth of premaxilla makes surgical extraction more difficult. And also the more quantity of removed bone is, the higher degree of difficulty is. Inverted mesiodens of these cases were impacted superior to apex level of adjacent permanent incisor. Although CT examination revealed exact location of impacted tooth, surgical procedure including ostectomy may take a long time more than expected. So, before surgical extraction, it's need to be considered several factors such as necessity of CT taking, degree of difficulty, direction of surgical approach, necessity of general anesthesia etc.

Clinical Significance of Repeated Delayed Air Reduction in Unsuccessful Initial Reduction of Intussusception (초기 정복에 실패한 장중첩증 환자에서 반복 지연 정복술의 임상적 의의)

  • Shin, Song-Heui;Rho, Young-Il;Park, Young-Bong;Moon, Kyung-Rye
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.4 no.2
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    • pp.175-180
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    • 2001
  • Purpose: The advantages of air reduction are the ease of performing the procedure, reduced radiation time and lower morbidity rate if perforation occurs. But, patients who fail air reduction undergo a laparotomy at which 10% have spontaneously reduced. The first enema decreases the edema and venous congestion of bowel wall, thus repeated reduction may succeed. The aim of this study is to evaluate the efficacy of delayed repeated pneumatic reduction of intussusception in patients with failure of an initial attempt. Methods: Between January 1998 and December 1999, 21 patients with proven intussusception received repeated delayed reduction 1 to 3 hours following the first failed attempt. These patients were in stable condition and did not have peritonitis, shock or toxic sign. Results: Before reduction, the patients had symptoms and signs for 6 to 48 hours (median 24 hr). The interval from the first reduction to the repeated was 1 to 3 hours (median 2.2 hr). The success rate of repeated reductions was 76.2% (16 of 21 patients), and 23.8% (5 of 21 patients) required surgery. Four of 5 patients requiring surgery were manually reduced and 1 spontaneously reduced in the operating room. Conclusion: We recommended a repeated reduction in patients with intussusception who are in stable clinical condition after an unsuccessful initial reduction attempt.

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Assessment of Gamma-radiation dose Rate in the Ogcheon Lower Phyllite Area, Goesan County, Korea, Using Gamma-ray Spectrometry (감마선분광분석기를 이용한 괴산 옥천하부천매암대 일대의 감마선량 평가)

  • Yun, Uk;Cho, Byong-Wook
    • The Journal of Engineering Geology
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    • v.29 no.4
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    • pp.461-468
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    • 2019
  • Gamma-radiation dose rates were measured at 77 points around the Ogcheon lower phyllite zone (og2) in Goesan County, Korea, using gamma-ray spectrometry. Sample K contents were in the range 1.8-8.8% (average 4.6%), highest in Kgr. The eU contents were 0.2-217.9 ppm (average 16.7 ppm), highest in og2 (median 29.6 ppm). The eTh contents were 11.9-76.5 ppm (average 29.5 ppm) and the average eTh content of Kgr was 45.4 ppm, higher than those of Ogcheon meta-sedimentary rocks (og1, og2, and og3) (26.6-30.6 ppm). Except for some high-uranium sites in og2, 40K is the main radioactive material contributing to the gamma-radiation dose in the study area. Our results indicate that the outdoor effective dose rate of the area is 0.08-1.71 mSv y-1 (average 0.28 mSv y-1), with most areas apart from three points in og2 displaying dose rates <1 mSv y-1, which is the normal natural radiation background level.

Surgical Repair of Coxofemoral Joint Luxation in a Wild Black-Crowned Night Heron (Nycticorax nycticorax) (야생 검은댕기해오라기에서 대퇴관절 탈골의 수술적 교정)

  • Kim, Eun-Ju;Lee, Jong-Hyun;Kim, Min-Su;Lee, Ki-Chang;Kim, Nam-Soo;Shin, Gee-Wook;Lee, Hae-Beom
    • Journal of Veterinary Clinics
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    • v.30 no.1
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    • pp.49-52
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    • 2013
  • A wild black-crowned night heron (Nycticorax nycticorax) with dehydration and a non-weight bearing lameness of the left leg was rescued. On physical examination, the left knee was displaced laterally at almost a $90^{\circ}$ angle with firm swelling and crepitus in the area of the coxofemoral joint. Radiographs confirmed cranio-dorsal coxofemoral luxation. A closed reduction attempt failed. The coxofemoral joint luxation was reduced surgically by placement of the femoral neck next to the pelvis with a suture. Ten days after surgery, radiographs and computed tomography showed the femoral neck and head were positioned well within the acetabulum. At 20 days, the bird was using the affected limb normally, and could hunt and forage for food in a rehabilitation housing unit with a small pond. The bird was successfully released into the wild. The placement of the femoral neck adjacent to the pelvis with a suture can be successfully performed for cases of avian coxofemoral joint luxation. Furthermore, this procedure can provide sufficient stabilization of the coxofemoral joint and acceptable limb function.

The phenomenological study of self-management intervention among breast cancer survivors: Non-pharmacological approaches (유방암 생존자들의 자가관리에 대한 현상학적 연구: 비약물적 접근방법을 중심으로)

  • Heo, Seok-Mo;Heo, Narae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.270-284
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    • 2016
  • The purpose of this study was to understand the essential structure and meaning of self-management intervention for breast cancer survivors by using non-pharmacological approaches. The study participants were 10 breast cancer survivors who were completing cancer treatment that involved surgery, chemotherapy, and radiation therapy. Data collected between August 2014 and February 2015 at E Hospital in S city were analyzed by using Colaizzi's phenomenological method. Outcomes were classified into seven essential themes: 1) application of comfort measures to alleviate ongoing symptoms, 2) movement to change physical conditions, 3) special herbal intake to prevent recurrence, 4) a specially designed diet plan for health self-management, 5) constant awareness of complementary and alternative medicine, 6) unmet needs treated by one's own doctor's prescription, and 7) future life toward a nature-friendly environment. The study results contribute to a deeper understanding of self-management interventions in the daily lives of Korean breast cancer survivors. In addition, results provide an essential resource, based on actual self-management styles, that will help survivors to obtain guidance and participate in appropriate programs.

Surgical Management of Dentigerous Cyst for Preserving Permanent Tooth Buds (영구치 보존을 고려한 함치성 낭종의 외과적 처치)

  • Park, Chanyoung;Park, Kitae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.1
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    • pp.85-92
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    • 2014
  • Dentigerous cyst is the most common developmental odontogenic cyst of the jaw which is associated with unerupted teeth. Treatment modalities range from enucleation to marsupialization. Enucleation is the process in which the cyst is completely removed, and this is usually indicated for smaller lesions. Larger cysts can be treated by marsupialization, which is a process that consists of making a surgical cavity on the wall of the cyst, emptying its content and maintaining the continuity between the cyst and the oral cavity. This procedure allows decompression of the cyst, regeneration of the bone-defected area, and also lets the wall of the cyst change into normal mucosa. This technique will protect adjacent structures and will promote spontaneous eruption of succedaneous teeth previously surrounded by the cyst. These are two case reports of a 5-year-old and an 11-year-old boy with dentigerous cysts found regarding supernumerary tooth and pulpotomized mandibular primary molars, respectively. Due to the large size of the cysts, both cases were treated with marsupialization. This case report shows that in cases regarding large-sized dentigerous cysts, marsupialization can be an effective surgical technique that promotes spontaneous eruption of cyst-involved succedaneous teeth and the preservation of adjacent teeth.

Optimization of $CO_2$ Direct Absorption Method for the Determination of Carbon-14 in Environmental Samples (환경시료중의 방사성탄소 측정을 위한 $CO_2$ 직접흡수법의 최적화 연구)

  • Cho, Soo-Young;Woo, Hyung-Joo;Chun, Sang-Ki
    • Journal of Radiation Protection and Research
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    • v.23 no.4
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    • pp.237-242
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    • 1998
  • The goal of this work was to optimize the liquid scintillation counting techniques for the determination of C-14 in environmental samples such as biological and air samples. Carbon-14 activities in most environmental samples were measured with direct $CO_2$ absorption method. The highest figure of merit was found through the variation of Carbosorb $E^{TM}$ and Permatluor $V^{TM}$ ratio, in the measurement windows. The best condition was 1:1 volume ratio. Average 2.35 g of $CO_2$ was reproducibly absorbed in the 20 ml mixture within 40 min. The counting efficiency determined by repeated analysis of NIST oxalic acid standard and the background count rate were measured to be $58.8{\pm}1.4%$ and $1.88{\pm}0.06\;cpm$, respectively in case of saturated solution. The correction curves of counting efficiency for partially saturated solutions and for saturated solutions with quenching were prepared, respectively. The overall uncertainty of the sample specific activity for near background levels was estimated to be about 7 % for 4 hours counting at 95 % confidence level. The long-term stability of samples has been checked for all the counting techniques over a two week periods, and no apparent change in counting efficiency and background level was found at that time.

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Analysis of Radioactivity in Coal Fly Ash (비산석탄회의 방사능 농도 분석)

  • Shin, Hyun-Sang;Lee, Myung-Ho;Kim, Mi-Kyung;Park, Doo-Wun;Lee, Chang-Woo;Rhee, Dong-Seok
    • Journal of Radiation Protection and Research
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    • v.24 no.4
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    • pp.187-193
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    • 1999
  • The specific radioactivity concentrations in the coal fly ash obtained from heat producing stations in Korea were analyzed and its radiological hazard for reuse in construction purpose was evaluated. The concentrations of uranium isotopes in the real fly ash measured by TBP solvent extraction method and $\alpha$-spectrometer were found to be about 116.1 Bq $kg^{-1}$ for $^{238}U$, 5.01 Bq $kg^{-1}$ for $^{235}U$, and 121.2 Bq $kg^{-1}$ for $^{234}U$, respectively. The activity ratio of $^{234}U/^{238}U$, in the coal fly ash was in $1.04\;{\pm}\;0.03$, which is similar to that of uncontaminated Korean soil in natural conditions (1.14). The specific radioactivities of $^{226}Ra,\;^{232}Th,\;and\;^{40}K$ in the coal fly ash were also determined using $\gamma$-spectrometer with a HPGe detector The results showed that $^{226}Ra,\;^{232}Th,\;and\;^{40}K$ in the coal fly ash were in concentrations of $101.7{\sim}113.9$, $39.5{\sim}54.2\;and\;315.0{\sim}990.6$ Bq $kg^{-1}$, respectively. With the specific radioactivities obtained from $\gamma$-spectrometric measurements of the coal fly ash, its radiological hazard for reuse was evaluated. The result showed that the radioactivity of the coal fly ash was in permissible level.

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Dosimetry of $^{222}Rn$ Component in Outdoor Natural Background Radiation (자연 방사선량 중 $^{222}Rn$기여 성분 정량 해석)

  • Jun, Jae-Shik;Oh, Hi-Peel;Chae, Ha-Suk;Lee, Byung-Young;Kim, Do-Sung
    • Journal of Radiation Protection and Research
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    • v.14 no.2
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    • pp.10-17
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    • 1989
  • A study for the assessment of dose given by outdoor radon to respiratory system has been carried out by making use of radon-cups containing CR-39 plastic track detectors. Detection efficiencies were determined by irradiation of the radon-cups in a standard radon chamber of known concentration. Thus determined detection factors of CR-39 plastic track detector in bare, open cup and filtered cup geometry are found to be 0.273, 0.0813 and 0.0371 $trmm^{-2}$/(37$Bqm^{-3}{\cdot}d$), respectively, which are chemically etched in 30% NaOH solution of $70^{\circ}C$ for 220 minutes. The outdoor radon concentrations measured at Taejeon(Chungnam National University) from May 1988 to March 1989 are in the range of 27.4 - 135.8 Bq/$m^3$(0.74 - 3.67pCi/l)by open cup and 16.7 - 143.9 Bq/$m^3$(0.45 - 3.89 pCi/l) by filtered cup, which yield overall annual average value of outdoor radon concentration of $70.8Bq/m^3$(1.91 pCi/l). Corresponding effective dose equivalent rate to respiratory system of ICRP standard man is assessed to be 520 nSv /h.

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