• 제목/요약/키워드: Block adjustment

검색결과 110건 처리시간 0.023초

Evaluation of brown rice to replace corn in weanling pig diet

  • Kim, Sheena;Cho, Jin Ho;Kim, Hyeun Bum;Song, Minho
    • Journal of Animal Science and Technology
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    • 제63권6호
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    • pp.1344-1354
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    • 2021
  • This study was conducted to evaluate the effects of brown rice (Japonica) on growth performance, nutrient digestibility, and blood parameters of weanling pigs. A total of 60 weanling pigs (28-day-old, 30 barrows and 30 gilts, 6.73 ± 0.77 kg body weight [BW]) were randomly allotted to 2 dietary treatments (6 pigs per pen; 5 replicates per treatment) in a randomized complete block design with the initial BW and sex as blocks. The dietary treatments were a typical nursery diet based on corn and soybean meal (CON) and the CON replaced 50% of corn with brown rice (BR). Pigs were fed respective dietary treatments for 5 weeks. For the last week of experiment period, pigs were fed respective dietary treatments containing 0.2% chromic oxide as an indigestible marker. Fecal samples were collected from randomly selected 1 pig in each pen daily for the last 3 d after the 4-d adjustment period. Blood was collected from randomly selected 1 pig in each pen on d 0, 3, 7, and 14 after weaning. Compared with pig fed CON diet, pigs fed the BR diet were found to have higher (p < 0.05) final BW, overall average daily gain, and apparent ileal digestibility (AID) and apparent total tract digestibility (ATTD) of dry matter and energy. However, there were no significant differences between the groups with respect to average daily feed intake, gain to feed ratio, frequency of diarrhea, and the AID and ATTD of crude protein during overall experimental period. Similarly, there were no significant differences on blood parameters between the groups. Thus, the findings of this study indicate that brown rice (Japonica) can be used to replace 50% of corn in the diet of pigs during the nursery period without negatively affecting growth performance, nutrient digestibility, or blood parameters.

Comparison of the efficacy of genicular nerve phenol neurolysis and radiofrequency ablation for pain management in patients with knee osteoarthritis

  • Gokhan Yildiz;Gevher Rabia Genc Perdecioglu;Damla Yuruk;Ezgi Can;Omer Taylan Akkaya
    • The Korean Journal of Pain
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    • 제36권4호
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    • pp.450-457
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    • 2023
  • Background: Genicular nerve neurolysis with phenol and radiofrequency ablation (RFA) are two interventional techniques for treating chronic refractory knee osteoarthritis (KOA) pain. This study aimed to compare the efficacy and adverse effects of both techniques. Methods: Sixty-four patients responding to diagnostic blockade of the superior medial, superior lateral, and inferior medial genicular nerve under ultrasound guidance were randomly divided into two groups: Group P (2 mL phenol for each genicular nerve) and Group R (RFA 80℃ for 60 seconds for each genicular nerve). The numeric rating scale (NRS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) were used to evaluate the effectiveness of the interventions. Results: RFA and phenol neurolysis of the genicular nerves provided effective analgesia within groups at 1 week, 1 month, and 3 months compared to baseline. There was no significant difference between the groups in terms of NRS and WOMAC scores at all measurement times. At the 3rd month follow-up, 50% or more pain relief was observed in 53.1% of patients in Group P and 50% of patients in Group R. The rate of transient paresthesia was 34.4% in Group P and 6.3% in Group R, and this was significantly higher in Group P. Conclusions: Neurolysis of the genicular nerves with both RFA and phenol is effective in the management of KOA pain. Phenol may be a good alternative to RFA. Further studies are needed on issues such as dose adjustment to prevent transient paresthesia response.

Feeding Unprotected CLA Methyl Esters Compared to Sunflower Seeds Increased Milk CLA Level but Inhibited Milk Fat Synthesis in Cows

  • Dohme-Meier, F.;Bee, G.
    • Asian-Australasian Journal of Animal Sciences
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    • 제25권1호
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    • pp.75-85
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    • 2012
  • An experiment was conducted to compare the effect of the same amount of 18:2 offered either as 18:2n-6 or as a mixture of unprotected 18:2c9t11 and 18:2t10c12 on feed intake, milk components as well as plasma and milk fatty acid profile. Fifteen cows were blocked by milk yield and milk fat percentage and within block assigned randomly to 1 of 3 treatments (n = 5). Each cow passed a 12-d adjustment period (AP) on a basal diet. After the AP cows received 1 of 3 supplements during an 18-d experimental period (EP). The supplements contained either 1.0 kg ground sunflower seeds (S), 0.5 kg conjugated linoleic acid (CLA)-oil (C) or 0.75 kg of a mixture of ground sunflower seeds and CLA-oil (2:1; SC). All 3 supplements contained the same amount of 18:2 either as CLA (${\Sigma}18$:2c9t11+18:2t10c12, 1:1) or as 18:2c9c12. During the last 2 d of AP and the last 4 d of EP feed intake and milk yield were recorded daily and milk samples were collected at each milking. Blood samples were collected from the jugular vein on d 11 of AP and d 15 and 18 of EP. The 18:2 intake increased in all treatments from AP to EP. Regardless of the amount of supplemented CLA, the milk fat percentage decreased by 2.35 and 2.10%-units in treatment C and SC, respectively, whereas in the treatment S the decrease was with 0.99%-unit less pronounced. Thus, C and SC cows excreted daily a lower amount of milk fat than S cows. The concentration of trans 18:1 in the plasma and the milk increased from AP to EP and increased with increasing dietary CLA supply. While the concentration of 18:2c9t11 and 18:2t10c12 in the plasma and that of 18:2t10c12 in the milk paralleled dietary supply, the level of 18:2c9t11 in the milk was similar in C and CS but still lower in S. Although the dietary concentration of CLA was highest in treatment C, the partial replacement of CLA by sunflower seeds had a similar inhibitory effect on milk fat synthesis. Comparable 18:2c9t11 levels in the milk in both CLA treatments implies that this isomer is subjected to greater biohydrogenation with increasing supply than 18:2t10c12. The fact that unprotected 18:2t10c12 escaped biohydrogenation in sufficient amounts to affect milk fat synthesis reveals opportunities to develop feeding strategies where reduced milk fat production is desirable or required by the metabolic state of the cow.

침자극에 대한 반응과 비반응군 흰쥐의 특이 유전자 발현 연구 (Gene Expression Profile of the Responder vs. the Non-Responder to the Acupuncture Mediated Analgesic Effects)

  • 서영찬;노삼웅;이기석;고은정;홍무창;신민규;민병일;배현수
    • 동의생리병리학회지
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    • 제17권3호
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    • pp.633-642
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    • 2003
  • A pain is the symptom which defends against noxious stimulus about a human body, it is known that if the periphery of perceptive nerve were stimulated by a physical or chemical factors, the stimulation is induced by transmission to pain center in the cerebral cortex according to pain conduction tract. The treatment of pain is to decrease a stimulus that causes a pain or block off a nerve transmitting a stimulus or puts on a way to calm down pain center, but It is for adjustment of a pain to be the most representative in acupuncture among various ways to cure a pain in Oriental medicine. However, the analgesic effect of an individual response to acupuncture stimulation shows marked individual variations, so these days genetic a few approach is attempted. On this the author determined that the responding group was appointed those whose tail flick latency (TFL) responding time delayed the minimum of 30 % comparing with basal reaction time. For those whose TFL time had shorter than 30 % was grouped as a non-responding group. And then the hypothalamus of each group was dissected and RNA was further purified. After synthesizing cDNA using oligo dT primer, products were finally applied to the PCR. The results were as follows; The ratio of responding group to non-responding group was 6:4. Ach T (acetylcholinesterase T subunit), BF-I (Brain factor-I), DBH (Dopamine β-hydroxylase) and PNM (Phosphotidylethanolamine N-Methyltransferase) were revealed significantly in the responding group. Cathepsin B and Tau were revealed significantly in the non-responding group. The PCR results show that Ach T, BF-I, DBH and PNM are expressed abundantly in the responding group, where as cathepsin B and tau are abundant in the non-responding group. These results suggest that the analgesic effect on acupuncture stimulation is related to regulation of neurotransmitter as well as neurodegeration of cerebrum.

치주지지가 감소된 상태에서 섬유강화형 포스트로 수복한 치아의 실패양상 분석 (AN ANALYSIS OF FAILURE MODE OF TEETH RESTORED WITH FIBER-REINFORCED POSTS UNDER THE CONDITION OF BONY RESORPTION)

  • 이병우;이양진;조리라;박찬진
    • 대한치과보철학회지
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    • 제41권2호
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    • pp.232-242
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    • 2003
  • Statement of problem : Fiber-reinforced posts have lower modulus of elasticity than titanium post or cast post-core. With this similar elasticity to that of dentin, fiber-reinforced posts have been known to have a tendency to reduce the risk of root fracture. However, there were few studies on the teeth restored with fiber-reinforced posts under the condition of reduced periodontal support. Purpose : The purpose of this study was to evaluate the fracture strength and failure mode of endodontically treated teeth restored with fiber-reinforced posts and titanium posts under the condition of reduced periodontal support. Material and method : Extracted human maxillary incisor roots were divided into 3 groups (group 1 carbon fiber post, group 2 : glass fiber post, and group 3 : titanium alloy post). After coronectomy and endodontic treatment, teeth were restored with each post systems and resin core according to the manufacturer's recommendation. Then, teeth with simulated periodontal ligament were embedded in the acrylic resin blocks at the level of 4 mm below the cemento-enamel junction. Each specimen was exposed to $10^5$ load cycles with average 30 N force in $36.5^{\circ}C$ water using a computer-controlled chewing simulator. Loads were applied at $45^{\circ}$ angle to the long axis of the teeth. After cyclic loading, teeth were subjected a compressive load until failure at a crosshead speed of 0.5 mm/min. Fracture strength (N) and failure mode were examined. The fracture strength was analyzed with one-way ANOVA and the Scheffe adjustment at the 95% significance level. Results and conclusion : The results were as follows. 1. There was no statistically significant difference in the mean fracture strength among the groups (P<.05). 2. Carbon fiber post and glass fiber post group showed less root fracture tendency than control group. 3. All specimens with root fractures showed fracture lines above the level of acrylic resin block, except for only one specimen in group 3.

Backgrounding steers on temperate grasses mixed with vetch and/or using energy supplementation

  • de Oliveira Lazzarotto, Eduardo Felipe Colerauz;de Menezes, Luis Fernando Glasenapp;Paris, Wagner;Molinete, Marcos Luis;Schmitz, Gean Rodrigo;Baraviera, Jose Henrique Ignacio;Farenzena, Roberta;de Paula, Adalberto Luiz
    • Asian-Australasian Journal of Animal Sciences
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    • 제32권6호
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    • pp.800-807
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    • 2019
  • Objective: The aim was to evaluate backgrounding beef steers on oat + ryegrass pastures mixed with vetch and/or using energy supplementation. Methods: A randomized block design with three treatments and three replications was used. The treatments were: grass + supplement (oat + ryegrass + supplementation), legume + supplement (oat + ryegrass + vetch + supplementation) and grass + legume (oat + ryegrass + vetch). A continuous grazing system with a variable stocking rate was used. Twenty-seven intact crossbred steers (1/4 Marchigiana, 1/4 Aberdeen Angus and 2/4 Nellore) aged 7 months old and average weight of 190 kg were used. Steers were supplemented at 1% of the body weight of ground corn. The experiment lasted 84 days, between May and August 2014. Behavioral assessments were performed two times per experimental period, for 24 hours. Results: The forage mass was different between treatments, being greater for steers fed without legume. The accumulation rate, forage allowance, and stocking rate did not differ between treatments due to the adequate adjustment of forage allowance. The final weight of animals, as well as the dry matter intake (kg/d), did not differ between treatments. However, forage intake was higher for non-supplemented animals in relation to supplemented steers. Supplement intake did not alter the total digestible nutrient intake due to pasture quality. Animals fed grass + supplement had higher live weight gain per area than those fed grass + legume. Animals without supplementation spent more time in grazing. Conclusion: Feeding behavior was not altered by mixing with vetch or supplementation. Non-supplemented animals started the grazing peak earlier and spent more time in grazing than those supplemented; however, the average daily gain was similar between treatments. The live weight gain per hectare was 47% higher in pastures in which the animals received supplementation compared with those mixed with vetch, a consequence of the substitutive effect.

Effects of Palm Kernel Expellers on Growth Performance, Nutrient Digestibility, and Blood Profiles of Weaned Pigs

  • Seo, J.;Kim, W.;Kim, J.;Kim, J.K.;Kim, S.C.;Jang, Y.;Jang, K.;Kim, K.;Kim, B.;Park, S.;Park, I.;Kim, M.K.;Seo, K.S.;Kim, H.B.;Kim, I.H.;Seo, S.;Song, M.
    • Asian-Australasian Journal of Animal Sciences
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    • 제28권7호
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    • pp.987-992
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    • 2015
  • This experiment was conducted to investigate the effects of palm kernel expellers on growth performance, nutrient digestibility, and blood profiles of weaned pigs. A total of 88 weaned pigs ($6.94{\pm}0.76kg$ body weight [BW]; 28 d old) were randomly allotted to 2 dietary treatments (4 pigs/pen; 11 replicates/treatment) in a randomized complete block design (sex as a block). The dietary treatments were a typical nursery diet based on corn and soybean meal (CON) and CON added with 20% of palm kernel expellers (PKE). Pigs were fed for 6 wk using a 3-phase feeding program with declining diet complexity and with phases of 1, 2, and 3 wk, respectively. Blood was collected from randomly selected 2 pigs in each pen before weaning and on d 7 after weaning. Pigs were fed respective dietary treatments containing 0.2% chromic oxide from d 29 to 35 after weaning. Fecal samples were collected from randomly selected 2 pigs in each pen daily for the last 3 days after the 4-d adjustment period. Measurements were growth performances, digestibility of dry matter, nitrogen and energy, white and red blood cell counts, packed cell volume, and incidence of diarrhea. The PKE increased average daily gain (ADG) (246 vs 215 g/d; p = 0.06) and average daily feed intake (ADFI) (470 vs 343 g/d; p<0.05) and decreased gain-to-feed ratio (G:F) (0.522 vs 0.628 g/g; p<0.05) during phase 2 compared with CON, but did not affect growth performance during phase 1 and 3. During overall experimental period, PKE increased ADG (383 vs 362 g/d; p = 0.05) and ADFI (549 vs 496 g/d; p<0.05) compared with CON, but did not affect G:F. However, no differences were found on digestibility of dry matter, nitrogen, and energy between CON and PKE. The PKE reduced frequency of diarrhea (15% vs 25%; p = 0.08) for the first 2 wk after weaning compared with CON. Similarly, PKE decreased white blood cells (8.19 vs $9.56{\times}10^3/{\mu}L$; p = 0.07), red blood cells (2.92 vs $3.25{\times}10^6/{\mu}L$; p = 0.09), and packed cell volume (11.1% vs 12.6%; p = 0.06) on d 7 after weaning compared with CON. In conclusion, addition of 20% palm kernel expellers to nursery diet based on corn and soybean meal had no negative effects on growth performance, nutrient digestibility, and blood profiles of weaned pigs.

IC-임베디드 PCB 공정을 사용한 DVB-T/H SiP 설계 (Design of DVB-T/H SiP using IC-embedded PCB Process)

  • 이태헌;이장훈;윤영민;최석문;김창균;송인채;김부균;위재경
    • 대한전자공학회논문지SD
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    • 제47권9호
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    • pp.14-23
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    • 2010
  • 본 논문에서는 유럽에서 사용되는 이동형 디지털 방송인 DVB-T/H 신호를 수신 및 신호처리 가능한 DVB-T/H SiP를 제작하였다. DVB-T/H SiP는 칩이 PCB 내부에 삽입될 수 있는 IC-임베디드 PCB 공정을 적용하여 설계되었다. DVB-T/H SiP에 삽입된 DVB-T/H IC는 신호를 수신하는 RF 칩과 어플리케이션 프로세서에서 활용할 수 있도록 수신된 신호를 변환하는 디지털 칩 2개를 원칩화한 모바일 TV용 SoC 이다. SiP 에는 DVB-T/H IC를 동작하기 위해 클럭소스로써 38.4MHz의 크리스탈을 이용하고, 전원공급을 위해 3MHz로 동작하는 DC-DC Converter와 LDO를 사용하였다. 제작된 DVB-T/H SiP는 $8mm{\times}8mm$ 의 4 Layer로 구성되었으며, IC-임베디드 PCB 기술을 사용하여 DVB-T/H IC는 2층과 3층에 배치시켰다. 시뮬레이션 결과 Ground Plane과 비아의 확보로 RF 신호선의 감도가 개선되었으며 SiP로 제작하는 경우에 Power 전달선에 존재하는 캐패시터와 인덕터의 조정이 필수적임을 확인하였다. 제작된 DVB-T/H SiP의 전력 소모는 평균 297mW이며 전력 효율은 87%로써 기존 모듈과 동등한 수준으로 구현되었고, 크기는 기존 모듈과 비교하여 70% 이상 감소하였다. 그러나 기존 모듈 대비평균 3.8dB의 수신 감도 하락이 나타났다. 이는 SiP에 존재하는 DC-DC Converter의 노이즈로 인한 2.8dB의 신호 감도 저하에 기인한 것이다.

6MV 선형가속기의 비대칭 조사야의 변화에 따른 선량분포 (Study on 6 MV Photon beam Dosimetry by Asymmetric Collimator Variation of Linear Accelerator)

  • 윤주호;이철수;염하용
    • 대한방사선치료학회지
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    • 제12권1호
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    • pp.91-104
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    • 2000
  • Recently linear accelerator in radiation therapy in asymmetric field has been easily used since the improvement and capability of asymmetrical field adjustment attached to the machine. It has been thought there have been some significant errors in dose calculation when asymmetrical radiation fields have been utilized in practice of radiation treatments if the fundamental data for dose calculation have been measured in symmetrical standard fields. This study investigated how much the measured data of dose distributions and their isodose curves are different between in asymmetrical and symmetrical standard fields, and how much there difference affect the error in dose calculation in conventional method measured in symmetrical standard field. The distributions of radiation dose were measured by photon diode detector in the water phantom (RFA-300P, Scanditronix, Sweden) as tissue equivalent material on utilization of 6 MV linear accelerator with source surface distance (SSD) 1000 mm. The photon diode detector has the velocity of 1 mm per second from water surface to 250 mm depth in the field size of $40mm{\times}40mm\;to\;250mm{\times}250mm\;symmetric\;field\;and\;40mm{\times}20mm\;to\;250mm{\times}125mm$ asymmetrical fields. The measurements of percent depth dose (PDD) and subsequent plotting of their isodose curves were performed from water surface to 250mm dmm from Y-center axis in $100mm{\times}50mm$ field in order to absence the variability of depth dose according to increasing field sizes and their affects to plotted isodose curves. The difference of PDD between symmetric and asymmetric field was maximum $4.1\%\;decrease\;in\;40mm{\times}20mm\;field,\;maximum\;6.6\%\;decrease\;in\;100mm{\times}50mm\;and\;maximum\;10.2\%\;decrease\;200mm{\times}100mm$, the larger decrease difference of PDD as the greater field size and as greater the depth, The difference of PDD between asymmetrical field and equivalent square field showed maximum $2.4\%\;decrease\;in\;60mm{\times}30mm\;field,\;maximum\;4.8\%\;decrease\;in\;150mm{\times}75mm\;and\;maximum\;6.1\%\;decrease\;in\;250mm{\times}125mm$, and the larger decreased differenced PDD as the greater field size and as greater the depth, these differences of PDD were out of $5\%$ of dose calculation as defined by international Commission on radiation unit and Measurements(ICRU). In the dose distribution of asymmetrical field (half beam) the plotted isodose curves were observed to have deviations by decreased PDD as greater as the blocking of the beam moved closer to the central axis, and as the asymmetrical field increased by moving the block 10 mm keeping away from the central axis, the PDD increased and plotted isodose curves were gradually more flattened, due to reduced amount of the primary beam and the fraction of low energy soft radiations by passing thougepth in asymmetrical field by moving independent jaw each 10 h beam flattening filter. As asymmetrical radiation field as half beam radiation technique is used, the radiation dosimetry calculated in utilizing the fundamental data which measured in standard symmetrical field should be converted on bases of nearly measured data in asymmetrical field, measured beam data flies of various asymmetrical field in various energy and be necessary in each institution.

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처방선량 및 치료기법별 치료성적 분석 결과에 기반한 자궁경부암 환자의 최적 방사선치료 스케줄 (Optimum Radiotherapy Schedule for Uterine Cervical Cancer based-on the Detailed Information of Dose Fractionation and Radiotherapy Technique)

  • 조재호;김현창;서창옥;이창걸;금기창;조남훈;이익재;심수정;서양권;성진실;김귀언
    • Radiation Oncology Journal
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    • 제23권3호
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    • pp.143-156
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    • 2005
  • 목적: 고선량률 강내근접치료와 외부방사선의 병합치료는 자궁경부암의 표준치료법이지만, 최적의 병합 방식 및 선량 분할 스케줄은 아직 정해지지 않고 있다. 부분적으로는 이에 영향을 미치는 인자들의 다양성 및 기존의 문헌들의 방사선 선량에 관한 자세한 정보 부족을 그 이유로 들 수 있다. 이에 본 연구는 고선량률 강내근접치료에 대한 풍부한 경험을 바탕으로 단일기관에서 비교적 균일한 치료를 받은 많은 수의 환자 모집단을 대상으로 이들 다양한 인자들 및 방사선치료에 대한 자세한 분석을 통해서 최적의 방사선치료를 위한 지침을 얻고자 하였다. 대상 및 방법: 1990년부터 1996년까지 연세암센터에서 고선량률 강내근접치료 및 외부방사선치료로 자궁경부암에 대한 근치적 치료를 받은 743명의 환자들을 대상으로 하였으며, 중앙추적관찰 기간은 52개월이었다. FIGO 병기 분포는 IB 198명, IIA 77명, IIB 364명, IIIA 7명, IIIB 89명, IVA 8명이었다. 전골반방사선 선량은 $23.4\~59.4$ Gy (중앙값 45 Gy)의 분포를 보였으며, 진단 시 종양의 크기 및 외부방사선치료에 대한 종양의 반응에 따라서 그 시기를 조절하는 중앙차폐는 495예에서 시행되었으며, 그 시기는 $14.4\~43.2$ Gy (중앙값 36.0 Gy)로 비교적 광범위하고 다양한 분포를 보였다. 강내근접치료와 외부방사선치료의 분할 선량 차이를 극복하기 위해 생물학적 유효선량(Biologically Effective Dose, BED) 개념을 적용하였으며, 종양 및 정상 조직에 대한 $\alpha/\beta$비는 각각 10 및 3으로 하였다. 모든 개별 환자의 직장 전벽 및 방광 흡수선량을 분석하였고, 합병증 및 골반제어율과의 상관 관계를 규명하고자 하였다. 이외에도 방사선치료 스케줄에 영향을 미칠 수 있는 인자들인 총 치료기간, 강내근접치료의 분할 선량 크기, 주치의의 선호도에 따른 치료 스케줄 차이 등도 함께 고려하여 분석하였다. 결과: 전체 환자에서 RTOG Grade 1-4독성 발생률은 $33.1\%$였다. 전체 환자의 5년 골반제어율은 $83\%$로 분석되었다. 중앙차폐이전 외부방사선선량과 강내근접치료의 합산 BED값(=MD-BED $Gy_{\alpha/\beta}$$\alpha/\beta$=10인 경우 $62.0\~121.9\;Gy_{10}$ (중앙값: $93.0\;Gy_{10}$)의 분포를, ${\alpha/\beta}=3$인 경우 $93.6\~187.3\;Gy_3$ (중앙값=$137.6\;Gy_3$ )의 분포를 보였다. MD-BED $Gy_3$는 직장합병증 발생과의 관계는 통계적으로 유의하였고, 방광합병증과는 유의하지 않았다. 직장합병증과의 연관성은 MD-BED $Gy_3$보다 개별 환자의 직장전벽 총 선량 BED값인 R-BED $Gy_3$가 훨씬 더 높았다. 요도카테터 풍선의 후방지점이 대변하는 방광의 총 선량 BED값인 V-BED $Gy_3$도 방광합병증과 경향성 테스트에서 통계적 유의성을 보였다. 하지만, 어떠한 방사선선량도 골반제어율과 의미 있는 상관관계를 보이지 않았다. 본 기관에서 주치의의 선호도에 따라 강내근접치료가 외부방사선치료의 중간에 시행되는 형태인 샌드위치기법과 외부방사선치료 후반부에 시행되는 순차적 기법으로 구분하였을 때, 두 방식간 치료성적 및 합병증의 차이는 없었다. 총 치료기간에 대한 분석에서는 치료기간이 길어질수록 재발 위험이 커지는 경향을 보였으나, 나이 및 병기, 종양의 크기, MD-BED $Gy_{10}$ 등의 예후 인자를 보정한 다변량분석에서는 치료기간이 100일 이상인 경우에만 통계적으로 유의하게 증가하였다. 강내근접치료 분할선량 크기인 3 Gy와 5 Gy 사이에 골반제어율 및 합병증의 차이는 없었다. 결론: 자궁경부암의 최적방사선치료 스케줄에 대한 지침을 세우기 어렵게 만드는 가장 중요한 이유는 강내근접치료가 갖는 선량분포 특성에서 기인하는 방사선선량-골반제어율 상관 관계의 부재 및 개별 종양의 방사선에 대한 반응 속도가 환자마다 크게 다를 수 있다는 점이다. 따라서 전체적인 원칙과 함께 개인화된 맞춤치료가 필요하다. 치료 지침에 영향을 미칠 수 있는 요소들의 복합적인 고려도 중요하다고 할 수 있겠다. 합병증 발생이 우려되는 경우 생물학적 유효선량을 낮추기 위해 적절한 조기 중앙차폐 및 강내근접치료의 분할선량 크기 감소를 고려해볼 수 있다.