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Analysis of Medical Use and Treatment Costs of Hepatocellular Carcinoma Patients Using National Patient Sample Data (환자표본자료를 이용한 간세포암종 환자의 의료이용 특성 및 치료별 의료비용 분석)

  • Oh, Byeong-Chan;Cho, Jeong-Yeon;Kwon, Sun-Hong;Lee, Eui-Kyung;Kim, Hye-Lin
    • Korean Journal of Clinical Pharmacy
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    • v.31 no.2
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    • pp.153-159
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    • 2021
  • Background: With increasing economic evaluation studies on the treatment of or screening tools for liver diseases that cause hepatocellular carcinoma (HCC), interest in the analysis of the medical utilization and costs of HCC treatment is increasing. Therefore, we aimed to estimate the medical utilization and costs of HCC patients, and calculate the cost of main procedures for HCC treatment, including liver transplant (LT), hepatic resection (HR), radiofrequency ablation (RFA), and transarterial chemoembolization (TACE). Methods: We analyzed claim data from January to December 2018 from the Health Insurance and Review and Assessment Service-National Patient Sample (HIRA-NPS-2018) dataset, including data of patients diagnosed with HCC (Korean Standard Classification of Diseases code C22.0) who had at least one inpatient claim for HCC. Results: A total of 715 HCC patients were identified. In 2018, the yearly average medical cost per HCC patient was ₩18,460K (thousand), of which ₩14,870K was attributed to HCC. Among the total medical costs of HCC patients, the inpatient cost accounted for the largest portion of both the total medical and HCC-related costs. The major procedures of HCC treatment occurred most frequently in the order of TACE, RFA, HR, and LT. The average medical cost per treatment episode was the highest for LT (₩87,280K), followed by HR (₩10,026K), TACE (₩4,047K), and RFA (₩2,927K). Conclusion: By identifying the medical costs of HCC patients and the costs of the main procedures of HCC treatment, our results provide basic information that could be utilized for cost estimation in liver disease-related economic evaluation studies.

Analysis Study on Patent for Scan-to-BIM Related Technology (Scan-to-BIM 관련기술 특허동향 분석연구)

  • Ryu, Jeong-Won;Byun, Na-Hyang
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.107-114
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    • 2020
  • Technologies related scan-to-BIM for BIM-based reverse engineering techniques are beginning to be actively introduced in the A.E.C. industry, and the scalability of the technology is growing considerably. This study uses patent analysis based on objective data to find the right direction for Korean Scan-to-BIM technology by identifying the trends in Korea, the United States, Europe, and Japan. This was done using the WIPSON patent search system to find previous research on patent analysis related to building technology, theoretical consideration of scan-to-BIM technology, and published patents. We collected information, verified the process, and extracted valid patents. We used the effective patent data to analyze the annual trend of patent applications, national trends, and technological trends through the International Patent Classification (IPC) code, the types of the top 20 major applicants, and family patent trends.

Radiological Assessment of Environmental Impact of the IF-System Facility of the RAON

  • Lee, Cheol-Woo;Whang, Won Tae;Kim, Eun Han;Han, Moon Hee;Jeong, Hae Sun;Jeong, Sol;Lee, Sang-jin
    • Journal of Radiation Protection and Research
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    • v.46 no.2
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    • pp.58-65
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    • 2021
  • Background: The evaluation of skyshine distribution, release of airborne radioactive nuclides, and soil activation and groundwater migration were required for radiological assessment of the impact on the environment surrounding In-Flight (IF)-system facility of the RAON (Rare isotope Accelerator complex for ON-line experiment) accelerator complex. Materials and Methods: Monte Carlo simulation by MCNPX code was used for evaluation of skyshine and activation analysis for air and soil. The concentration model was applied in the estimation of the groundwater migration of radionuclides in soil. Results and Discussion: The skyshine dose rates at 1 km from the facility were evaluated as 1.62 × 10-3 μSv·hr-1. The annual releases of 3H and 14C were calculated as 9.62 × 10-5 mg and 1.19 × 10-1 mg, respectively. The concentrations of 3H and 22Na in drinking water were estimated as 1.22 × 10-1 Bq·cm-3 and 8.25 × 10-3 Bq·cm-3, respectively. Conclusion: Radiological assessment of environmental impact on the IF-facility of RAON was performed through evaluation of skyshine dose distribution, evaluation of annual emission of long-lived radionuclides in the air and estimation of soil activation and groundwater migration of radionuclides. As a result, much lower exposure than the limit value for the public, 1 mSv·yr-1, is expected during operation of the IF-facility.

Dosimetry of the Low Fluence Fast Neutron Beams for Boron Neutron Capture Therapy (붕소-중성자 포획치료를 위한 미세 속중성자 선량 특성 연구)

  • Lee, Dong-Han;Ji, Young-Hoon;Lee, Dong-Hoon;Park, Hyun-Joo;Lee, Suk;Lee, Kyung-Hoo;Suh, So-Heigh;Kim, Mi-Sook;Cho, Chul-Koo;Yoo, Seong-Yul;Yu, Hyung-Jun;Gwak, Ho-Shin;Rhee, Chang-Hun
    • Radiation Oncology Journal
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    • v.19 no.1
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    • pp.66-73
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    • 2001
  • Purpose : For the research of Boron Neutron Capture Therapy (BNCT), fast neutrons generated from the MC-50 cyclotron with maximum energy of 34.4 MeV in Korea Cancer Center Hospital were moderated by 70 cm paraffin and then the dose characteristics were investigated. Using these results, we hope to establish the protocol about dose measurement of epi-thermal neutron, to make a basis of dose characteristic of epi-thermal neutron emitted from nuclear reactor, and to find feasibility about accelerator-based BNCT. Method and Materials : For measuring the absorbed dose and dose distribution of fast neutron beams, we used Unidos 10005 (PTW, Germany) electrometer and IC-17 (Far West, USA), IC-18, ElC-1 ion chambers manufactured by A-150 plastic and used IC-l7M ion chamber manufactured by magnesium for gamma dose. There chambers were flushed with tissue equivalent gas and argon gas and then the flow rate was S co per minute. Using Monte Carlo N-Particle (MCNP) code, transport program in mixed field with neutron, photon, electron, two dimensional dose and energy fluence distribution was calculated and there results were compared with measured results. Results : The absorbed dose of fast neutron beams was $6.47\times10^{-3}$ cGy per 1 MU at the 4 cm depth of the water phantom, which is assumed to be effective depth for BNCT. The magnitude of gamma contamination intermingled with fast neutron beams was $65.2{\pm}0.9\%$ at the same depth. In the dose distribution according to the depth of water, the neutron dose decreased linearly and the gamma dose decreased exponentially as the depth was deepened. The factor expressed energy level, $D_{20}/D_{10}$, of the total dose was 0.718. Conclusion : Through the direct measurement using the two ion chambers, which is made different wall materials, and computer calculation of isodose distribution using MCNP simulation method, we have found the dose characteristics of low fluence fast neutron beams. If the power supply and the target material, which generate high voltage and current, will be developed and gamma contamination was reduced by lead or bismuth, we think, it may be possible to accelerator-based BNCT.

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Evaluation of the Site Specific Ground Response in Korean Urban Site (국내 도시지역의 지반응답특성 거동 평가)

  • Shin, Dea-Sub;Kim, Hu-Seung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.250-255
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    • 2017
  • When an earthquake occurs, it is necessary to evaluate the site-specific ground response while considering ground characteristics in seismic design. The design seismic force of Korean seismic design criteria is borrowed from the Uniform Building Code(UBC-1997). However, the criteria are based on the ground characteristics of the United States, which are different from the ground characteristics in Korea, and using them could cause over-or under-designing. Therefore, it is important to develop a proper design response spectrum for Korean ground characteristics. In this study, 158 ground sites in Korean urban areas were selected and compared to those in the western part of the United States, and their site-specific ground responses were analyzed. The classification standard in the seismic design criteria classifies the 158 sites into 37 sites, 107 sites, and 14 sites. Using 7 earthquake inputs, the criteria were compared for each group.The Korean design response spectrum underestimates the amplification of the short-period range and overestimates the amplification in the long-period range. There were large differences in the results of the and sites,which account for 77 percent of the 158 sites. Therefore, there is a need to modify the amplification factor in the Korean seismic criteria to properly reflect Korean ground characteristics.

Numerical Heat Transfer Analysis of die Electrowinning Cell in the Pyroprocessing (파이로프로세스 전해제련장치의 열전달 해석)

  • Yoon, Dal-Seong;Paek, Seung-Woo;Kim, Si-Hyung;Kim, Kwang-Rag;Ahn, Do-Hee
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.7 no.4
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    • pp.213-218
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    • 2009
  • Electrowinning process recovers uranium with actinide elements from spent fuels and is a key step in the Pyroprocessing because of proliferation resistance. An analysis of heat transfer of the Electrowinning cell was conducted to develop basic tool for designing engineering-scale Electrowinner. For the calculation of the heat transfer, ANSYS CFX commercial code was adapted. As a result of the calculation, the vertical Heating Zone length had great effect upon temperature of LiCl-KCl eutectic salt. To maintain constant temperature in the salt, the Heating Zone length should be three times longer than the height of the salt. However, the argon and salt temperatures were barely affected by the Cooling Zone length. The temperature under the Cell cover was mainly influenced by the number of the cooling plates. When the cooling plates were installed more than the number of 5, temperature under the cover was maintained below $250^{\circ}C$. These temperature properties had similar tendency toward the temperature of the Cell which was measured from experiments, Simulated heat transfer information from this study could be used to design engineering-scale Electrowinner.

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Cloning of Autoregulator Receptor Gene form Saccharopolyspora erythraea IFO 13426 (Saccharopolyspora erythraea IFO 13426으로부터 Autoregulator Receptor Protein Gene의 Cloning)

  • 김현수;이경화;조재만
    • Microbiology and Biotechnology Letters
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    • v.31 no.2
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    • pp.117-123
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    • 2003
  • For screening of autoregulator receptor gene from Saccharopolyspora erythraea, PCR was performed with primers of receptor gene designed on the basis of amino acid sequences of autoregulator receptor proteins with known function. PCR products were subcloned into the BamHI site of pUC19 and transformed into the E. coli DH5$\alpha$. The isolated plasmid from transformant contained the fragment of 120 bp, which was detected on 2% gel after BamHI treatment. The insert, 120 bp PCR product, was confirmed as the expected internal segment of gene encoding autoregulator receptor protein by sequencing. Southern and colony hybridization using Saccha. erythraea chromosomal DNA were performed with the insert as probe. The plasmid (pEsg) having 3.2 kbp SacI DNA fragment from Saccha. erythraea is obtained. The 3.2 kbp SacI DNA fragment was sequenced by the dye terminator sequencing. The nucleotide sequence data was analyzed with GENETYX-WIN (ver 3.2) computer program and DNA database. frame analyses of the nucleotide sequence revealed a gene encoding autoregulator receptor protein which is a region including KpnI and SalI sites on 3.2 kbp SacI DNA fragment. The autoregulator receptor protein consisting of 205 amino acid was named EsgR by author. In comparison with known autoregulator receptor proteins, homology of EsgR showed above 30%.

Multi-Residue Analysis of 18 Dye Residues in Animal Products by Liquid Chromatography-Tandem Mass Spectrometry

  • Park, Hyunjin;Kim, Joohye;Kang, Hui-Seung;Cho, Byung-Hoon;Oh, Jae-Ho
    • Journal of Food Hygiene and Safety
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    • v.35 no.2
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    • pp.109-117
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    • 2020
  • This study aimed to develop an analytical method for determination of 18 dyes in livestock and fishery products by liquid chromatograph-tandem mass spectrometry (LC-MS/MS). The developed method was validated for linearity, accuracy, limit of quantifications (LOQ) and recovery based on the CODEX guideline (CAC/GL-71). Target matrices (beef, pork, chicken, egg, milk, flatfish, eel, and shrimp) were extracted using acetonitrile (containing 1% of acetic acid) and then, purified with C18 and primary secondary amine (PSA). Calibration linearity was obtained (r2>0.98) and LOQs were 0.002 mg/kg in animal products. The recoveries of dyes were ranged from 63 to 112% and relative standard deviations (RSDs, %) were less than 15%. The residues of 18 dyes were investigated in real samples (n=124) collected from retail markets in South Korea. As a result, a total of seven samples showed positive results for target analytes in fish samples. However, there was no violation according to the maximum residue limits set by the Korean Food Code. The proposed method will be used for routine analysis of dye residues in livestock and fishery products.

Comparison of Film Measurements, Convolution$^{}$erposition Model and Monte Carlo Simulations for Small fields in Heterogeneous Phantoms (비균질 팬텀에서 소조사면에 대한 필름측정, 회선/중첩 모델과 몬테 카를로 모사의 비교 연구)

  • 김상노;제이슨손;서태석
    • Journal of Biomedical Engineering Research
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    • v.25 no.2
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    • pp.89-95
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    • 2004
  • Intensity-modulated radiation therapy (IMRT) often uses small beam segments. The heterogeneity effect is well known for relatively large field sizes used in the conventional radiation treatments. However, this effect is not known in small fields such as the beamlets used in IMRT. There are many factors that can cause errors in the small field i.e. electronic disequilibrium and multiple electron scattering. This study prepared geometrically regular heterogeneous phantoms, and compared the measurements with the calculations using the Convolution/Superposition algorithm and Monte Carlo method for small beams. This study used the BEAM00/EGS4 code to simulate the head of a Varian 2300C/D. The commissioning of a 6MV photon beam were performed from two points of view, the beam profiles and depth doses. The calculated voxel size was 1${\times}$1${\times}$2$\textrm{cm}^2$ with field sizes of 1${\times}$1$\textrm{cm}^2$, 2${\times}$2$\textrm{cm}^2$, and 5${\times}$5$\textrm{cm}^2$. The XiOTM TPS (Treatment Planning System) was used for the calculation using the Convolution/Superposition algorithm. The 6MV photon beam was irradiated to homogeneous (water equivalent) and heterogeneous phantoms (water equivalent + air cavity, water equivalent + bone equivalent). The beam profiles were well matched within :t1 mm and the depth doses were within ${\pm}$2%. In conclusion, the dose calculations of the Convolution/Superposition and Monte Carlo simulations showed good agreement with the film measurements in the small field.

A Study on the Clearance Level(draft) for the Steel Scrap from the KRR-1 & 2 Decommissioning (연구로 1,2호기 해체 철재폐기물의 규제해제농도기준(안) 도출을 위한 연구)

  • 홍상범;이봉재;정운수
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.2 no.1
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    • pp.60-67
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    • 2004
  • The exposure dose form recycling of a large amount of the steel scrap from the KRR-1&2 decommissioning activities was evaluated, and also the clearance level(draft) was derived. The maximum individual dose and collective dose were evaluated by modifying internal dose conversion factor which was based on the concept of effective dose in ICRP 60, applied to the RESRAD-RECYCLE ver 3.06 computing code, IAEA Safety Series 111-P-1.1 and NUREG-1640 as the assessment tool. The result of assessment for individual dose and collective dose is 23.9 $\mu$Sv per year and 0.11 man$.$Sv per year respectively. The clearance levels were ultimately determined by extracting the most conservative value form the results of the generic assessment and specific assessment methodologies. The result of clearance level for radionuclides( $Co^{60}$ , C $s^{l37}$) is less than 1.14${\times}$10$^{-1}$ Bq/g to comply with the clearance criterion(maximum individual dose : 10 $\mu$Sv per year, collective dose : 1 man$.$Sv per year) provided for Korea Atomic Energy Act and relevant regulations.s.

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