• Title/Summary/Keyword: AMC(AMC)

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Remote Afterloading High Dose Rate Brachytherapy AMC EXPERIANCES (원격조정 고선량 근접 치료)

  • Park, Su-Gyeong;Chang, Hye-Sook;Choi, Eun-Kyong;Yi, Byong-Yong;Kim, Jae-Sung
    • Radiation Oncology Journal
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    • v.10 no.2
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    • pp.267-275
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    • 1992
  • Remote afterloading high dose rate brachytherapy (HDRB) is a new technology and needs new biological principle for time and dose schedule. Here, authors attempt to evaluate the technique and clinical outcome in 116 patients, 590 procedures peformed at Asan Medical Center for 3 years. From Sep. 1989 to Aug 1992, 471 procedures of intracavitary radiation in 58 patients of cervical cancer and 26 of nasopharyngeal cancer,79 intraluminal radiation in 12 of esophageal cancer, 11 of endobronchial cancer and 1 Klatskin tumor and 40 interstitial brachytherapy in 4 of breast cancer, 1 sarcoma and 1 urethral cancer were performed. Median follow-up was 7 months with range $1\~31$ months. All procedures except interstitial were performed under the local anesthesia and they were all well tolerated and completed the planned therapy except 6 patients. 53/58 patients with cervical cancer and 22/26 patients with nasopharynx cancer achieved CR. Among 15 patients with palliative therapy, $80{\%}$ achieved palliation. We will describe the details of the technique and results in the text. To evaluate biologic effects of HDRB and optimal time/dose/fractionation schedule, we need longer follow-up. But authors feel that HDRB with proper fractionation schedule may yield superior results compared to the low dose rate brachytherapy considering the advantages of HDRB in safety factor for operator, better control of radiation dose and volume and patients comfort over the low dose brachytherapy.

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Physiological Characteristics and Angiotensin Converting Enzyme Inhibitory Activity of Lactobacillus brevis HLJ59 Isolated from Salted Shrimp (국내 새우젓에서 분리한 Lactobacillus brevis HLJ59의 Angiotensin Converting Enzyme 저해활성 및 생리적 특성)

  • Jeon, Chun-Pyo;Kim, Yun-Hoi;Lee, Jung-Bok;Jo, Min-Sub;Shin, Kee-Sun;Choi, Chung-Sig;Kwon, Gi-Seok
    • Korean Journal of Microbiology
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    • v.46 no.1
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    • pp.9-14
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    • 2010
  • In this study, lactic acid bacteria with high angiotensin converting enzyme inhibitor activity were isolated from Korean fermented food, such as kimchi and salted seafood. The strain HLJ59, isolated from salted shrimp showed the highest angiotensin converting enzyme inhibitor activity in DeMan Rogosa Sharpe broth. Optimum growth temperature of Lactobacillus brevis HLJ59 was at $34^{\circ}C$. Acid treatment at pH 3.0 for 1.5 h decreased cell viability from $9.9{\times}10^8$ CFU/ml to $3.11{\times}10^4$ CFU/ml. The bile extract concentration of 0.3%, 0.5%, and 1.0% in MRS broth did not inhibit the growth of HLJ59. Isolated strain HLJ59 showed more sensibility to amikacin, gentamycin, neomycin, streptomycin, kanamycin, cefmetazole, cephalothin, ampicillin, ticarcillin, sulbactam+ampicillin, amoxicillin+clavulanic acid (AMC), tetracycline, and sulfamethoxazole+trime thoprim (SXT) as compare to other 7 different antibiotics. However, it showed more resistance to cefoxatin, ceftnaxone, penicillin, ciprofloxacin, nalidixic acid, lincomycin, and chloramphenicol.

A Study of the Application of Precepter Program with the Reducion of the Time of New Entry Nurse Orientation. (신입간호사 교육 기간 단축에 따른 Preceptor program 적용에 관한 연구)

  • Kim, Hae-Sook;Kim, Lee-Young;Choi, Sun-Sook;Han, Mee-Jung;Kim, Sun-Hee;An, Young-Hee;Kong, Sung-Hwa;Jang, Soo-Ryeon;Kim, Mee-Ae;Kim, Soo-Young
    • The Korean Nurse
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    • v.37 no.4
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    • pp.58-71
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    • 1998
  • The purpose of this study was to contribute the improvement of nursing staff development by implementing of effective and organized orientation program using the measure of effectiveness in the application of preceptor program with the reduction of the time of New entry nurse orientation. The subjects were comprised of 116 new entry nurses(59 new entry nurses were employed at June, 1996 and 57 at May & July, 1997) and 79 preceptors, who were in charge of new entry nurse orientation at 1997. These date were collected from June 18, 1996 to August 29, 1997. The characteristics of questionairs applied in this study were general characteristics(7 questions), knowledge of nursing care(138 questions); attitude toward her profession(40 questions) and the degree of satisfaction for the program(5 questions). The questionnairs were developed by the researchers of Asan Medical Center. The Check-list for basic nursing skill were used for the measurement of nursing skill which was developed by nursing department of AMC. The data were analyzed for the mean, standard deviation, difference of mean, ANOV A & t-test. The results of this study are as follows : 1) The changes in knowledge of nursing care : After three months of training the difference of mean between before and after the orientation was higher than the result of two month period training. However, the result was insignificant(p= .469). 2) Performance in nursing practice : Two month period orientation was more effective than three-month training period, however, the statistical significance can not be reached than 3 month period, which resulted in insignificant difference(p=.150). 3) The change in attitude toward her profession : After three-month of orientation, the difference of mean between before and after the orientation was higher than 2 month period orientation, which resulted in significant difference (p=.000). 4) The degree of satisfaction for the program with the time of new entry nurse orientation : After two-month of orientation, the mean of points was 2.57 where the score is higher than 3 month period with mean of 2.30. It resulted in significant difference(p=.000).

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Usefulness Assessment of Automatic Analysis Program for Flangeless Esser PET Phantom Images (Flangeless Esser PET Phantom 영상 자동 분석 프로그램의 유용성 평가)

  • NamGung, Chang-Kyeong;Nam, Ki-Pyo;Kim, Kyeong-Sik;Kim, Jeong-Seon;Lim, Ki-Cheon;Shin, Sang-Ki;Cho, Shee-Man;Dong, Kyung-Rae
    • The Korean Journal of Nuclear Medicine Technology
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    • v.13 no.1
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    • pp.63-66
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    • 2009
  • Purpose: ACR (American College of Radiology) offers variable parameters to PET/CT quality control by using ACR Phantom. ACR Phantom was made to evaluate parameters which are uniformity, attenuation, scatter, contrast and resolution. Manual analysis method wasn't good for the use of QC because values of parameter were changed as it may user and it takes long time to analysis. Ki-Chun Lim, a nuclear scientist in AMC, developed program that automatically analysis values of parameter by using ACR Phantom to overcome above problems. In this study, we evaluated automatic analysis program's usability, through the comparing SUV of each method, reproducibility of SUV when repeated analysis and the time required. Materials and Methods: Using Flangeless Esser PET Phantom, the ideal ratio of 4 : 1 hot cylinder and BKG but it actually showed a ratio of 3.89 to 1 hot cylinder and BKG. SIEMENS Biograph True Point 40 was used in this study. We obtained images using ACR phantom at Fusion WB PET Scan condition (2 min/bed) and 120 kV, 100 mAs CT condition. Using True X method, 3 iterations, 14 subsets, Gaussian filter, FWHM 4 mm and Zoom Factor 1.0, $168{\times}168$ image size. We obtained Max. & Min. SUV and SUV Mean values at Cylinder (8, 12, 16, 25 mm, Air, Bone, Water, BKG) by automatic program and obtained SUV by manual method. After that, we compared manual and automatic method. we estimate the time required from opened the image data to final work sheet was completed. Results: Automatic program always showed same result and same the time required. At 8, 12, 16 and 25 m cylinder, manual method showed 6.69, 3.46, 2.59, 1.24 CV values. The larger cylinder size became, the smaller CV became. In manual method, bone, air, water's CV were over 9.9 except BKG (2.32). Obtained CV of Mean SUV showed BKG was low (0.85) and bone was high (7.52). The time required was 45 second, 882 second respectably. Conclusions: As a result of difference automatic method and manual method, automatic method showed always same result, manual method showed that the smaller hot cylinders became, the lager CV became. Hot cylinders mean region size, the smaller hot cylinder size becomes we had some trouble in doing ROI poison setting. And it means increase in variation of SUV. The Study showed the time required of automatic method was shorten then manual method.

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Redetermining the curve number of Korean forest according to hydrologic condition class (수문학적 조건 등급에 따른 우리나라 산림의 유출곡선지수 재산정)

  • Park, Dong-Hyeok;Yu, Ji Soo;Ahn, Jae-Hyun;Kim, Tae-Woong
    • Journal of Korea Water Resources Association
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    • v.50 no.10
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    • pp.653-660
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    • 2017
  • The SCS-CN (Soil Conservation Service-Curve Number) method has been practically applied for estimating the effective precipitation. The CN is used to be determined according to the land use condition based on the US standard. However, there are two distinctive differences between U.S. and Korean land use conditions: mountainous (forest) and rice paddy area that cover more than 70% of the Korean territory. The previous work proposed to use 79 for rice paddy area, regardless of the soil type. Because US SCS's goal was originally to increase crops, the SCS classification standard provides only for woods and there are no criteria to distinguish the wood and forest. To determine the CN for forest, alternatively the U.S. Forest Service criteria have been employed in practice considering hydrologic condition class. In this study, we investigated the change of the forest CN using the observed rainfall - runoff data within the target area. The results indicated that the CN for forest was suitable for HC=1, and the corresponding CNs were redetermined between 54 and 55.

The Effect of Slope-based Curve Number Adjustment on Direct Runoff Estimation by L-THIA (경사도에 따른 CN보정에 의한 L-THIA 직접유출 모의 영향 평가)

  • Kim, Jonggun;Lim, Kyoung Jae;Park, Younshik;Heo, Sunggu;Park, Joonho;Ahn, Jaehun;Kim, Ki-sung;Choi, Joongdae
    • Journal of Korean Society on Water Environment
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    • v.23 no.6
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    • pp.897-905
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    • 2007
  • Approximately 70% of Korea is composed of forest areas. Especially 48% of agricultural field is practiced at highland areas over 400 m in elevation in Kangwon province. Over 90% of highland agricultural farming is located at Kangwon province. Runoff characteristics at the mountainous area such as Kangwon province are largely affected by steep slopes, thus runoff estimation considering field slopes needs to be utilized for accurate estimation of direct runoff. Although many methods for runoff estimation are available, the Soil Conservation Service (SCS), now Natural Resource Conservation Service (NRCS), Curve Number (CN)-based method is used in this study. The CN values were obtained from many plot-years dataset obtained from mid-west areas of the United States, where most of the areas have less than 5% in slopes. Thus, the CN method is not suitable for accurate runoff estimation where significant areas are over 5% in slopes. Therefore, the CN values were adjusted based on the average slopes (25.8% at Doam-dam watershed) depending on the 5-day Antecedent Moisture Condition (AMC). In this study, the CN-based Long-Term Hydrologic Impact Assessment (L-THIA) direct runoff estimation model used and the Web-based Hydrograph Analysis Tool (WHAT) was used for direct runoff separation from the stream flow data. The $R^2$ value was 0.65 and the Nash-Sutcliffe coefficient value was 0.60 when no slope adjustment was made in CN method. However, the $R^2$ value was 0.69 and the Nash-Sutcliffe value was 0.69 with slope adjustment. As shown in this study, it is strongly recommended the slope adjustment in the CN direct runoff estimation should be made for accurate direct runoff prediction using the CN-based L-THIA model when applied to steep mountainous areas.

Multiuser Bit-Interleaved Coded OFDM with Limited Feedback Infonnation (제한된 궤환정보를 이용한 다중사용자 BIC-OFDM)

  • Sung, Chang-Kyung;Kim, Ji-Hoon;Lee, In-Kyu
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.33 no.2A
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    • pp.107-114
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    • 2008
  • In wireless access systems, there has been much interest in enhancing the performance of orthogonal frequency division multiplexing OFDM) in a frequency selective fading channel. If the channel is static and is perfectly known to both the transmitter and the receiver, the water-filling technique with adaptive modulation is known to be optimal. However, for OFDM systems, this requires intensive traffic overheads for reporting channel side information on all subcarriers to the transmitter In this paper, we propose an adaptive modulation and coding scheme for bit-interleaved coded OFDM (BIC-OFDM) for downlink packet transmissions with reduced feedback information. To minimize the feedback information, we employ a rate adaptation method based on the OFDM symbol rather than on each subcarrier. To illustrate the performance gap between the optimal water-filling and the proposed scheme, we will compare cutoff rates for both schemes. It is shown that the loss is less than 2dB while the proposed scheme significantly reduces the feedback payloads. Also, the OFDM system in multiuser environment with subcarrier grouping is considered. It is shown that by exploiting multiuser diversity the throughput of the proposed scheme approaches the channel outage capacity as the number of users and the number of subcarrier groups increase.

A Case of Cystinuria with Multiple Renal Stones in an 8-month-old Girl (8개월 여아에서 다발성 결석으로 진단된 시스틴뇨증 1례)

  • Kang, Eun Gu;Lee, Joo Hoon;Lee, Beom Hee;Kim, Gu-Hwan;Park, Young Seo
    • Childhood Kidney Diseases
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    • v.17 no.2
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    • pp.122-126
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    • 2013
  • Cystinuria is an autosomal recessive disease characterized by impaired transport of cystine and dibasic amino acids in the proximal renal tubule, resulting in the formation of cystine stones. It is believed to account for about 1% of all kidney stones and up to 10% of pediatric stones. Here we report a case of cystinuria with multiple renal stones confirmed by genetic mutational analysis. An 8-month-old girl was admitted to AMC with persistent fever and multiple renal stones. A renal sonogram showed multiple stones at the right renal pelvis, right distal ureter, and left renal medullary portion. An approximately 1 cm renal stone was extracted spontaneously, and stone analysis revealed it to be composed entirely of cystine. Cystinuria was confirmed by increased urine dibasic amino acid levels, including cysteine, and genetic mutational analysis showed the patient to be a homozygote for the pathogenic c. 1820del (p.L607fs) of SLC3A1. Despite treatment with oral hydration and urinary alkalinization, and restricted intake of animal protein, the stones increased in size and number. The patient has since been treated with tiopronin.

The Effect of Concentrated Onion Juice in a Body Composition, Serum Electrolytes and Lipids Levels on Hyperlipidemia (양파 농축액이 고지혈증 성인 남자의 체성분, 혈장 전해질 및 지질 성분에 미치는 영향)

  • 황금희;정난희;조남철;유영균;박평심;노영희;서희숙;노인옥
    • The Korean Journal of Food And Nutrition
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    • v.16 no.1
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    • pp.36-45
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    • 2003
  • It is known as that onion is antioxidation effect, antibiotic effect, blood pressure decreasing effect and reducing serum cholesterol levels. This research about effect that onion concentrate gets blood cholesterol levels and body composition. Subject was 17 adult men of hyperlipidemia. Age distribution of investigation subjects were average 49.4 years old by 40~56 years old, and average height and weight were 167.6cm and 75.5kg each, BMI was 26.9kg/$m^2$, and BMR was 1,460.6$\pm$87.5㎉, and AMC was 25.0$\pm$1.05cm, and BCM was 41.0$\pm$2.79cm. In the meantime, the body muscle was 53.7$\pm$3.7kg, and fat mass was 18.7$\pm$3.8kg, and intracellular fluid was 26.6$\pm$1.8kg, and extracellular fluid was 12.8$\pm$0.9kg. The % body fat was 24.6$\pm$3.8%, and fat distribution was 0.9$\pm$0.0%, and the obesity degree was 125.4$\pm$8.2%. Vegetables, seaweeds, fruits and juices increased by change of dietary life and greasy foods, instants, breads, rices etc. decreased or there was no change, fast foods and eggs were no change. Also, subject previewed that guidance about stress, smoking, drinking and beverage intake need. If compared the nutrient intake amount with before onion concentrate allowance, it was similar level almost without significant. Energy, calcium and riboflavin are lower than the RDA for koreans. After 3 months, the levels of plasma total cholesterol, triglycerides had decreased significantly : 15.0%, 31.2% respectively. And the HDL-cholesterol and LDL-cholesterol levels also showed a marked reduction of 6.8%, 8.7% respectively. Plasma lipid level change by onion concentrate supplement would can know that case of triglyceride more greatly than plasma cholesterol. The pH and Na+ level of plasma were low significant since 8 weeks after, and $K^{+}$ level increase significant. While $Ca^{++}$ level was low significant after 1 month, there was no change since 2 months after, but nC $a^{++}$ level was low significantly. Plasma $Mg^{++}$ level was no change and nM $g^{++}$ level was low significant after intake.e.e.e.e.e.

Analysis of Glyphosate and Glufosinate in Animal Feeds using LC-MS/MS (LC-MS/MS를 이용한 동물 사료 내 글라이포세이트 및 글루포시네이트 분석)

  • Lee, Ji-Su;Kim, Wanseo;Yang, Heedeuk;Park, Na-Youn;Jung, Woong;Kim, Junghoan;Kho, Younglim
    • Journal of the Korean Chemical Society
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    • v.63 no.5
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    • pp.342-345
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    • 2019
  • The standards for the contents of glyphosate and glufosinate in foods are specific and well categorized. However, the standard of content in animal feeds is relatively inadequate and the classification is insufficient. There is also constant debate about the risk of glyphosate and glufosinate to human health, but the risk to animals has not been well studied. In this study, we established an analytical method in feeds that is estimated to be the path for animals to ingest glyphosate. The solvent extraction was carried out using 25% methanol. After centrifugation, samples were purified using solid phase extraction (SPE) and quantitatively analysed using LC-MS/MS after concentrated. Assessment of validation was conducted through detection limits, accuracy, and precision tests. The detection limits for the established method were 1.8 of ${\mu}g/kg$ of glufosinate and $2.4{\mu}g/kg$ of glyphosate. Accuracy was ranged from 94.4% to 103.4% and precision was range from 1.5% to 7.2%. Glufosinate was detected in one sample ($ND{\sim}8.8{\mu}g/kg$) and glyphosate was detected in all but one sample ($ND{\sim}337.0{\mu}g/kg$) by applying the analytical method to animal feeds (n=13).