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Significantly Low Effective Dose from 18FDG PET/CT Scans Using Dose Reducing Strategies: "Lesser is Better"

  • uz Zaman, Maseeh;Fatima, Nosheen;Zaman, Areeba;Zaman, Unaiza;Tahseen, Rabia
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권7호
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    • pp.3465-3468
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    • 2016
  • Background: Fluorodeoxyglucose ($^{18}FDG$) PET/CT imaging has become an important component of the management paradigm in oncology. However, the significant imparted radiation exposure is a matter of growing concern especially in younger populations who have better odds of survival. The aim of this study was to estimate the effective dose received by patients having whole body $^{18}F$-FDG PET/CT scanning as per recent dose reducing guidelines at a tertiary care hospital. Materials and Methods: This prospective study covered 63 patients with different cancers who were referred for PET/CT study for various indications. Patients were prepared as per departmental protocol and 18FDG was injected at 3 MBq/Kg and a low dose, non-enhanced CT protocol (LD-NECT) was used. Diagnostic CT studies of specific regions were subsequently performed if required. Effective dose imparted by 18FDG (internal exposure) was calculated by using multiplying injected dose in MBq with coefficient $1.9{\times}10^{-2}mSv/MBq$ according to ICRP publication 106. Effective dose imparted by CT was calculated by multiplying DLP (mGy.cm) with ICRP conversion coefficient "k" 0.015 [mSv / (mG. cm)]. Results: Mean age of patients was $49{\pm}18$ years with a male to female ratio of 35:28 (56%:44%). Median dose of 18FDG given was 194 MBq (range: 139-293). Median CTDIvol was 3.25 (2.4-6.2) and median DLP was 334.95 (246.70 - 576.70). Estimated median effective dose imparted by $^{18}FDG$ was 3.69 mSv (range: 2.85-5.57). Similarly the estimated median effective dose by low dose (non-diagnostic) CT examination was 4.93 mSv (range: 2.14 -10.49). Median total effective dose by whole body 18FDG PET plus low dose non-diagnostic CT study was 8.85 mSv (range: 5.56-13.00). Conclusions: We conclude that the median effective dose from a whole body 18FDG PET/CT in our patients was significantly low. We suggest adhering to recently published dose reducing strategies, use of ToF scanner with CT dose reducing option to achieve the lower if not the lowest effective dose. This would certainly reduce the risk of second primary malignancy in younger patients with higher odds of cure from first primary cancer.

OpenSSL을 이용한 키쌍(공개키·개인키) 충돌율 분석 (Key-pair(Public key, Private key) conflict analysis using OpenSSL)

  • 이광형;박정효;전문석
    • 한국산학기술학회논문지
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    • 제15권8호
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    • pp.5294-5302
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    • 2014
  • 공개키 기반 기술의 발전은 전자정부, 전자금융, 전자결제 등 다양한 서비스를 가능하게 하였으며, 완벽한 안전성을 가지고 있는 것으로 평가된다. 하지만, 최근 허트블리드 버그 등 공개키 기반 이용 기술에 대한 취약점이 지속적으로 발견되고 있다. 본 논문에서는 공개키 기반구조의 안전성 및 신뢰성을 검증하기 위해, OpenSSL을 이용하여 키쌍의 충돌율을 분석하였다. 실험은 OpenSSL을 이용하여 5개의 사설인증기관을 생성하고, 각 사설인증기관에서 200만개의 인증서를 생성해 총 1,000만개의 인증서를 생성하여 키쌍 충돌 여부를 분석하였다. 실험은 다음과 같은 과정으로 수행되었다. Openssl을 이용하여 5개의 사설인증기관 생성, 각 사설인증기관에서 200만개의 인증서를 생성, 총 1,000만개의 인증서를 생성하여 키쌍 충돌 여부를 분석하였다. 실험 결과 1,000만건 중 35,000건, 즉 0.35%의 확률로 공개키 개인키가 충돌을 발생하였다. 이는 전자상거래, 보안서버 등 다양한 분야에서 충분한 위협이 될 수 있는 요소이다. 향후에는 공개키 기반기술의 위협요소를 제거하기 위해 난수생성기, 큰 소수 선택 문제 등 깊이 있는 연구를 진행할 것이다.

한우 공란우의 영양 상태와 이식 가능 수정란과의 관계 (Relationship between Nutritional Status and Transferable Embryos in Hanwoo Donors)

  • 정연섭;최창용;조상래;임현주;윤호백;백광수;권응기;손동수;손준규
    • 한국수정란이식학회지
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    • 제27권1호
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    • pp.15-20
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    • 2012
  • The objective of this study was to investigate the relationship between body weight, body condition score (BCS), blood urea nitrogen (BUN), glucose, cholesterol and number of transferable embryos for the purpose of improving reproductive performance in Hanwoo donors. Seventy five cows, at random stages of the estrous cycle, received a CIDR together with injection of 1mg estradiol benzoate and 50 mg progesterone, and gonadotropin treatment begann. Four days later, the animals were superovulated with a total of 28AU FSH (Antorin, 2AU = 1 ml) administered twice daily in constant doses over 4 days. On the 3rd administration of FSH, CIDR was withdrawn and 25 mg $PGF_2{\alpha}$ was administered. Cows were artificially inseminated twice after estrous detection at 12 hr intervals. The cows received $100{\mu}g$ GnRH at the time of 1st insemination. Embryos were recovered 7 days after the 1st insemination. In conclusion, cows with body weight < 400, 400~450 and > 450kg had number of transferable embryos of $4.2{\pm}1.7$, $6.1{\pm}2.7$ and $4.8{\pm}2.6$, cows with BCS <2.25, 2.25~2.75 and ${\geq}2.75$ had number of transferable embryos of $4.6{\pm}1.6$, $5.7{\pm}2.4$ and $5.1{\pm}2.7$ respectively. These data indicate that a body weight and BCS for superovulation of CIDR-treated Korean native cows does not affect the embryo yield.

초고압 처리에 의한 감귤의 추출률 및 특성변화 (Quality Characteristics of Citrus Fruit by Cyclic Low Pressure Drying and High Hydrostatic Pressure Extraction)

  • 박성진;최영범;고정림;나영아;이현용
    • 한국조리학회지
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    • 제20권3호
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    • pp.13-21
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    • 2014
  • 본 연구에서는 순환형 감압건조 및 초고압 추출공정을 이용하여 전통적인 기존 추출공정과 비교함으로써 복합 추출공정에 의한 감귤의 항산화 활성 증진을 확인하고자 연구를 수행하였다. 건조공정을 거친 후 초고압 처리 추출물의 수율이 20.41~28.19%로 높은 추출 수율을 나타내어 건조전 열수추출공정(17.21%)과 비교하여 약 1.6배의 높은 추출수율을 나타내었다. 순환형 감압건조와 초고압 공정을 병행하였을 시 총 폴리페놀과 플라보노이드 함량이 순환형 감압건조공정을 거치지 않은 것보다 다소 증가되는 것으로 보아 활성성분의 용출이 증진된 것으로 보인다. DPPH radical 소거 활성은 15분 초고압 처리한 추출물이 48.21%로 높은 활성을 나타내었다. 전처리 공정에 따른 감귤 시료의 주사전자현미경(SEM)을 통해 순환형 감압건조 후 초고압 추출이 감귤 내부 조직까지 영향을 주어 세포벽이 깨어지면서 조직 및 구조가 변화한 것으로 판단되며, 이를 통해 수율 및 활성 성분의 용출 증가가 이루어 진 것으로 사료된다. 따라서, 감귤의 건조 및 초고압 추출공정의 최적화를 통한 활성물질의 추출 극대화를 통해 추출수율을 향상시킬 것으로 판단된다.

농가소득(農家所得) 증대(增大)를 위한 한계농지(限界農地)의 효율적(效率的) 이용방안(利用方案) - 농지(農地) 및 환경보존(環境保存)을 중심으로- (A Study on Efficient Utilization of the Idle & Marginal Farm Land for Farm Household Income Increase - With Respect to Conservation of Farm Land and Sustainable Environment -)

  • 임재환
    • 농업과학연구
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    • 제22권1호
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    • pp.110-126
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    • 1995
  • Korean economy has been developed successfully in the course of implementing the five year economic development plans since 1962. The gap of incomes and quality of life between rural and urban area has been widened and it made rural farm laborers drain to urban areas. Therefore the prevailing situation of labor shortage and wage hike in rural area has made farm management deteriorate in recent years. Under the internal and international unfavorable economic conditions, marginal farm land of 66.5 thousand ha has been idled as of end of 1993. The total area outside agricultural development zone with bad farming conditions including irrigation and drainage, and land consolidation for mechanization were estimated at 360.4thousand ha equivalent to 17.5% of the total farm land area in Korea. Considering the topographical conditions of marginal lands, the effective use of marginal lands should be studied from the view point of public interest rather than from the view point of individual economic conditions. Considering the present agricultural economic settings, such as price decrease, unfavourable benefits of farm products, labour shrotage, free trade of farm products and poor physical condition of marginal lands, the institutional and realistical measures for the effective utilization of idle and marginal land should be studied as soon as possible. Detail land use pattern should be surveyed in the areas outside agricultural development zone and have to be classified as orchard farms, grass land, fish culture farms, lawn and ornamental tree farm, sight seeing and leisure farms for urban peoples, special crops production farms and common farms to be developed for farm mechanization. According to the surveyed results, the expected utilization patterns of the idle and marginal lands could be considerd as village common use, farm land base development, leisure farm development, mutual complementary utilization between urban and rural areas, G't purchase and management, credit supply and new extension services, improvement of cropping patterns and sight seeing and leisure farm patterns. For the successful and reasonable management of the marginal lands, the actions such as institutional improvement, prohibition of idle marginal land, enforcement of activities of farm management committee members and land banking system of RDC including development and utilization systems should be included.

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한국형 호스피스 케어 개발을 위한 기초 조사 연구 (The National Hospice Care Service Development in Korea)

  • 이소우;이은옥;안효섭;허대석;김달숙;김현숙;이혜자
    • 대한간호
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    • 제36권3호
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    • pp.49-69
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    • 1997
  • The urgent needs to establish hospice care systems in Korea arise from the following reasons: 0) a drastic increase in chronically ill patients with the increase of aged population: (2) rapid changes in living environment from the traditional habitation (e. g., Many Koreans living in apartment complexes, which is the most popular form of modern residence in recent years, prefer to die in the hospital.): the overall increase in patients with advanced cancer: (4) recent trends in early discharge of terminally ill patients from the limited hospital facilities to accomodate other medical insurance beneficiaries; (5) easy acceptance of euthanasia owing to the recent social atmosphere that belittles the dignity of human life; (6) medical and nursing care of AIDS patient in terminal stage; (7) and the problem associated with inhumane medical care system, overtreatment, and groundless fears against narcotics. Terminally ill patients were used to be treated in the hospital in the past. In these days, however, they are forced to have home cares with little assistance from the qualified medical personnel because of insufficient hospital facilities, which are even short for the need of emergency patients and provide priority cares to medical insurance beneficiaries with other acute problems. And yet, neither are there any administrative organizations nor systematic medical studies that deal with the level of terminally ill patient's need, their family's problems and resources of hospice care systems in Korea. Thus, most patients are not able to get appropriate medical care at the terminal stage of their lives. The objective of this study is to make comprehensive database for various hospice care organization currently in operation, link them through medical information system, and develop an easily accessible hospice care model that meets the need of most Korean people. Our survey results may be summarized as follows: Nationally there are 40 organizations that provide partial or full hospice care. However, these organizations are not linked to any formal medical service network. Furthermore, the objective of hospice care, care principles, personnel with appropriate training, educational programs, standard for care, costs, consulting service to patients' family members, the extent of medical care from professional staff members, status of hospice facility, and management of those institutions are neither clearly defined nor organized compared to the international hospice care standards. The surveys on patients of terminal stage. grouped in hospice and non-hospice care patients. reveal what they want visiting nursing care to help their pain control. psychological. social and spiritual demands. While the more than 90% of hospice care patients want to reduce their pains. the non-hospice care patients. in addition to their desire for pain control. demanded more psychological. social and spiritual helps as well. The results of this research could be utilized to 0) define the standard of hospice care. (2) provide the guidance for hospice medical care costs. (3) establish the database of hospice care systems. (4) develop softwares. (5) build communication network through Medinet. and (6) provide an organized visiting home nursing care system. These information should be a valuable resource to many medical staffs who are involved in cancer therapy. nursing care. and social welfare programs.

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벼 도복저항성 다수성 신품종 '화원7호' (A New High-yielding Rice Variety 'Hwaweon 7' with Lodging Tolerance)

  • 김동민;강주원;윤여태;이현숙;박인규;안상낙
    • 한국육종학회지
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    • 제49권3호
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    • pp.250-255
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    • 2017
  • 일품벼의 주요 농업적 특성에 모로베레칸의 수당립수와 내도 복성을 조절하는 유전자가 이입된 근동질계통을 육성하기 위해 일품벼와 모로베레칸을 교배하고, 계속적인 여교배와 MAS를 병행 실시하여 유망한 계통 CR28-30-2 계통을 선발하였다. 생산력검정 시험 결과 조사된 형질 중 수당립수와 간기경 등을 제외한 기타 형질에서는 일품벼와 유사한 근동질계통으로, 품종보호출원 조건에 부합하여 화원7호로 명명하고 품종보호원을 출원하였다. 1. 화원7호는 출수기가 보통기재배에서 8월 15일로 일품벼보다 4일 정도 빠른 중만생종 품종이다. 2. 천립중은 23.8g으로 일품벼보다 무거웠으나 통계적인 유의한 차이는 없었다. 3. 흰잎마름병과 줄무늬잎마름병에는 이병성이다. 4. 완전미율은 일품벼에 비해 약간 낮았고, 아밀로스 함량은 일품벼보다 높았으나 통계적인 차이는 없었다. 5. 화원7호의 정조수량은 '10-'11년 2개년간 실시한 생산력검정 시험에서 평균 6.20 MT/ha 로 일품벼와 유사하였으나, 예산에서는 6.48 MT/ha로 일품벼 대비 104% 수준이었다. 6. 화원7호는 일품벼에 비해 수당립수가 많았다 그리고 간기경이 두꺼운 특성을 보였는데 이는 모로베레칸의 APO1 유전자의 영향으로 판단된다.

간호대학생의 낙태에 대한 태도와 안락사 및 좋은 죽음에 대한 인식 (Nursing Students' Attitudes toward Abortion and Perceptions of Euthanasia and Good death)

  • 김경숙
    • 융합정보논문지
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    • 제11권3호
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    • pp.68-76
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    • 2021
  • 본 연구는 간호학 전공 대학생의 낙태와 안락사에 대한 태도 및 좋은 죽음에 대한 인식 수준과 관련요인과의 관계를 파악하기 위하여 시도되었다. 자료조사는 C시 및 G시에 소재한 대학교 2곳의 간호학 전공 학생들을 대상자로 선정하여 구조화된 설문지를 통하여 이루어졌다. 연구방법은 서술적 조사연구로서 변인에 대한 평균과 표준편차, 빈도분석, Pearson's correlation coefficients 분석을 실시하였다. 본 연구결과, 대상자의 낙태 반대에 대한 지지정도는 2.51±.56점(점수범위 1-4)으로 낙태에 대한 반대가 찬성보다 우위에 있었다. 안락사에 대한 인식은 3.06±.47점(4점 척도)로 중간보다 높은 수준으로 긍정적으로 인식하였고, 좋은 죽음 인식은 2.97±.47점(4점 척도)으로 중간 정도로 나타났다. 낙태에 대한 의사결정은 97.1%가 임신한 여성에게 있다고 하였으며 낙태를 경험한 대학생은 5.7%였다. 낙태에 대한 태도는 안락사에 대한 태도와 부적 상관관계(r=-.374, p<.001)를 보여 낙태반대를 지지할수록 안락사에 대해 긍정적인 태도를 나타내었다. 따라서 대상자들이 간호서비스를 제공하면서 생명의 존엄성과 인본주의적 사고에 기초하여 환자의 인권을 보호하고 존중할 수 있도록 생명과 죽음과 관련된 윤리교육이 필요하다.

Protective effect of low-intensity treadmill exercise against acetylcholine-calcium chloride-induced atrial fibrillation in mice

  • Sung, Dong-Jun;Jeon, Yong-Kyun;Choi, Jaeil;Kim, Bokyung;Golpasandi, Shadi;Park, Sang Woong;Oh, Seung-Bum;Bae, Young Min
    • The Korean Journal of Physiology and Pharmacology
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    • 제26권5호
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    • pp.313-323
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    • 2022
  • Atrial fibrillation (AF) is the most common supraventricular arrhythmia, and it corresponds highly with exercise intensity. Here, we induced AF in mice using acetylcholine (ACh)-CaCl2 for 7 days and aimed to determine the appropriate exercise intensity (no, low, moderate, high) to protect against AF by running the mice at different intensities for 4 weeks before the AF induction by ACh-CaCl2. We examined the AF-induced atrial remodeling using electrocardiogram, patch-clamp, and immunohistochemistry. After the AF induction, heart rate, % increase of heart rate, and heart weight/body weight ratio were significantly higher in all the four AF groups than in the normal control; highest in the high-ex AF and lowest in the low-ex (lower than the no-ex AF), which indicates that low-ex treated the AF. Consistent with these changes, G protein-gated inwardly rectifying K+ currents, which were induced by ACh, increased in an exercise intensity-dependent manner and were lower in the low-ex AF than the no-ex AF. The peak level of Ca2+ current (at 0 mV) increased also in an exercise intensity-dependent manner and the inactivation time constants were shorter in all AF groups except for the low-ex AF group, in which the time constant was similar to that of the control. Finally, action potential duration was shorter in all the four AF groups than in the normal control; shortest in the high-ex AF and longest in the low-ex AF. Taken together, we conclude that low-intensity exercise protects the heart from AF, whereas high-intensity exercise might exacerbate AF.

스테인리스 스틸 식품기구 표면에 사용되는 주요 살균소독제의 살균력 평가 및 살균예측모델 개발 (Evaluation of Efficacy and Development of Predictive Model of Sanitizers and Disinfectants on Reduction of Microorganisms on Food Contact Surfaces)

  • 이유시;하상도;김동호;박준희
    • 한국식품위생안전성학회지
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    • 제26권3호
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    • pp.203-208
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    • 2011
  • 본 연구는 기구 표면에 존재하는 주요 오염균인 E. coli와 S. aureus에 대한 살균소독제의 농도와 처리 시간별 살균력을 평가하여 살균예측모델 개발 및 살균소독지침의 기초자료로 제공하고자 한다. 염소계 살균소독제 100ppm처리 직후, 5분,\0분 후 E. coli( 1.56, 1.49, 1.95 log cfu/25 $cm^2$)와 S. aureus(0.49, 0.88, 1.27 log cfu/25 $cm^2$)에 대해 높은 감소율을 보였고 200ppm처리 시에는 불검출 되었다. 알콜계 살균소독제는 35.5% 처리 직후, 5분, 10분 후 E. coli(0.73, 0.90. 1.55 log cfu/25 $cm^2$), S. aureus(0.37, 1.00, 1.45 log cfu/25 $cm^2$)에 대해 높은 감소율을 보였고, 70% 5분 처리 시 불검출되었다. 과산화수소계 살균소독제는45.5 ppm 처리 직후. 5분, 10분 후 E. coli(0.28, 0.64, l.07 10g cfu/25 $cm^2$), S. aureus(0.53, 0.87, 0.99 log cfu/25 $cm^2$)에 대해 높은 살균력을 보였으나, 91 ppm 5분 처리 시 검출되지 않았다. 4급암모늄계는 100 ppm 처리 직후, 5분, 10분 후 E. coli(0.82, 1.62. 1.71 log cfu/25 $cm^2$), S. aureus(0.46, 0.93, 1.38 log cfu/25 $cm^2$)에 대한 높은 감소율을 보였으나 200 ppm 5분 처리 시 불검출 되었다. 살균예측모델의 경우, $R^2$ 값이 모두 9.4 이상으로 두 균주 모두 높은 적합성을 보였다. 기구 등의 살균소독제의 사용은 적정한 농도와 처리시간을 준수하여 야만 병원성미생물 감소에 효과적이므로 본 연구에서 개발된 4가지 주요 살균소독제의 살균예측모델을 현장에서 활용함으로써 최적의 살균소독제 처리농도와 처리시간을 추가 실험 없이 시뮬레이션으로 도출 가능할 것이다.