• Title/Summary/Keyword: CM at Risk

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Fetal dose from Head and Neck Tomotherapy Versus 3D Conformal Radiotherapy

  • Park, So Hyun;Choi, Won Hoon;Choi, Jinhyun
    • Journal of Radiation Protection and Research
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    • v.44 no.4
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    • pp.156-160
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    • 2019
  • Background: To compare the dose of radiation received by the fetus in a pregnant patient irradiated for head and neck cancer using helical tomotherapy and three-dimensional conformal radiation therapy (3DCRT). Materials and Methods: The patient was modeled with a humanoid phantom to mimic a gestation of 26 weeks. Radiotherapy with a total dose of 2 Gy was delivered with both tomotherapy (2.5 and 5.0 cm jaw size) and 3DCRT. The position of the fetus was predicted to be 45 cm from the field edge at the time of treatment. The delivered dose was measured according to the distance from the field edge and the fetus. Results and Discussion: The accumulated dose to the fetus was 1.6 cGy by 3DCRT and 2 and 2.3 cGy by the 2.5 and 5 cm jaw tomotherapy plans. For tomotherapy, the fetal dose with the 2.5 cm jaw was lower than that with the 5 cm jaw, although the radiation leakage was greater for 2.5 cm jaw plan due to the 1.5 fold longer beam-on time. At the uterine fundus, tomotherapy with a 5 cm jaw delivered the highest dose of 2.4 cGy. When the fetus moves up to 35 cm at the 29th week of gestation, the resultant fetal doses for 3DCRT and tomotherapy with 2.5 and 5 cm jaws were estimated as 2.1, 2.7, and 3.9 cGy, respectively. Conclusion: For tomotherapy, scattering radiation was more important due to the high monitor unit values. Therefore, selecting a smaller jaw size for tomotherapy may reduce the fetal dose. however, evaluation of risk should be individually performed for each patient.

Estimation of Extreme Tide for Risk Analysis of Marine Salvage in the Namhae (southern sea of Korea) (한국 남해의 구난환경 위험성 분석을 위한 극치 조석 산정)

  • Lee Moon-Jin
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.12 no.1 s.24
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    • pp.33-38
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    • 2006
  • In marine salvage, extreme tide heights and tidal currents are necessary to anchor an accidental ship. In order to meet this requirement, a simple scheme was developed which yields the spatial informations on the extreme tide from the distribution of approximate highest astronomical tide heights using a relationship between extreme and highest astronomical tides at the standard port. This method is the inference method based on horizontally homogeneity of tide. This scheme was applied to estimate extreme tide heights and tidal currents in the Namhae (southern sea of Korea). The highest astronomical tide heights are computed by amplitude of four major constituents (M2, S2, K1, O1 tide). The estimated extreme tide heights are ranged from 70 to 260 cm for return period 50 years and from 80 to 270cm for return period 100 years, respectively. For return period 100 years, extreme tidal currents show value of 1.55 times as strong as those of normal state.

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A Study on the Measurement of Explosion Range by CO2 Addition for the Process Safety Operation of Propylene (프로필렌의 공정안전 운전을 위한 CO2 첨가량에 따른 폭발범위 측정에 관한 연구)

  • Choi, Yu-Jung;Heo, Jong-Man;Kim, Jung-Hun;Choi, Jae-Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.599-606
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    • 2019
  • Most facilities that manufacture products made from the hazardous materials operate at high temperatures and pressures. Therefore, there is a risk of fire explosion. In particular, an explosion accident is a major risk factor for facilities with hazardous materials, such as oil, chemical, and gas. Propylene is often used in sites producing basic raw materials and synthetic materials by addition polymerization at petrochemical plants. To prevent an explosion in the business using propylene, the explosion range with the oxygen concentration was calculated according to the changes in temperature and pressure using an inert gas, carbon dioxide. In these measurements, the temperature was $25^{\circ}C$, $100^{\circ}C$, and $200^{\circ}C$ and the amount of carbon dioxide in the container was $1.0kgf/cm^2.G$, $1.5kgf/cm^2.G$, $2.0kgf/cm^2.G$, and $2.5kgf/cm^2.G$. The explosion limit was related to temperature, pressure, and oxygen concentration. The minimum oxygen concentration for an explosion decreased with increasing temperature and pressure. The range of explosion narrowed with decreasing oxygen concentration. In addition, no explosion occurred at concentrations below the minimum oxygen concentration, even with steam and an ignition source of propylene.

Preliminary Evaluation of Subsurface Cavity and Road Cave-in Potentials Based on FWD Deflections (FWD 처짐량 기반 도로 공동 및 함몰 위험도 평가 기초 연구)

  • Kim, Tae-Woo;Yoon, Jin-Sung;Lee, Chang Min;Baek, Jongeun;Choi, Yeon-Woo
    • International Journal of Highway Engineering
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    • v.19 no.5
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    • pp.59-68
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    • 2017
  • PURPOSES : The objective of this study is to evaluate the potential risk level of road cave-ins due to subsurface cavities based on the deflection basin measured with falling weight deflectometer (FWD) tests. METHODS: Ground penetrating radar (GPR) tests were conducted to detect road cavities. Then FWD tests were conducted on 13 pavement test sections with and without a cavity. FWD deflections and a deflection ratio was used to evaluate the effect of geometry of the cavity and pavement for road cave-in potentials. RESULTS : FWD deflection of cavity sections measured at 60 cm or a closer offset distance to a loading center were 50% greater than more robust sections. The average deflection ratio of the cavity sections to robust sections were 1.78 for high risk level cavities, 1.51 for medium risk level cavities, and 1.16 for low risk level cavities. The relative remaining service life of pavement with a cavity evaluated with an surface curvature index (SCI) was 8.1% for the high level, 21.8% for the medium level, and 89.8% compared to pavement without a cavity. CONCLUSIONS : FWD tests can be applied to detect a subsurface cavity by comparing FWD deflections with and without a cavity measured at 60 cm or a closer offset distance to loading center. In addition, the relative remaining service life of cavity sections based on the SCI can used to evaluate road cave-in potentials.

A Study on the Probability of Secondary Carcinogenesis during Gamma Knife Radiosurgery (감마나이프 방사선 수술시 2차 발암 확률에 관한 연구)

  • Joo-Ah, Lee;Gi-Hong, Kim
    • Journal of the Korean Society of Radiology
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    • v.16 no.7
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    • pp.843-849
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    • 2022
  • In this study, the probability of secondary carcinogenesis was analyzed by measuring the exposure dose of surrounding normal organs during radiosurgery using a gamma knife. A pediatric phantom (Model 706-G, CIRS, USA) composed of human tissue-equivalent material was set to four tumor volumes of 0.25 cm3, 0.51 cm3, 1.01 cm3, and 2.03 cm3, and the average dose was 18.4 ± 3.4 Gy. After installing the Rando phantom on the table of the gamma knife surgical equipment, the OSLD nanoDot dosimeters were placed in the right eye, left eye, thyroid, thymus gland, right lung, and left lung to measure each exposure dose. The probability of cancer occurrence due to radiation exposure of surrounding normal organs during gamma knife radiosurgery for acoustic schwannoma disease was 4.08 cancers per 100,000 at a tumor volume of 2.03 cm3. This study is expected to be used as useful data in relation to stochastic effects in the future by studying the risk of secondary radiation exposure that can occur during stereotactic radiosurgery.

Assessment of N-16 activity concentration in Bangladesh Atomic Energy Commission TRIGA Research Reactor

  • Ajijul Hoq, M.;Malek Soner, M.A.;Salam, M.A.;Khanom, Salma;Fahad, S.M.
    • Nuclear Engineering and Technology
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    • v.50 no.1
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    • pp.165-169
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    • 2018
  • An assessment for determining N-16 activity concentrations during the operation condition of Bangladesh Atomic Energy Commission TRIGA Research Reactor was performed employing several governing equations. The radionuclide N-16 is a high energy (6.13 MeV) gamma emitter which is predominately created by the fast neutron interaction with O-16 present in the reactor core water. During reactor operation at different power level, the concentration of N-16 at the reactor bay region may increase causing radiation risk to the reactor operating personnel or the general public. Concerning the safety of the research reactor, the present study deals with the estimation of N-16 activity concentrations in the regions of reactor core, reactor tank, and reactor bay at different reactor power levels under natural convection cooling mode. The estimated N-16 activity concentration values with 500 kW reactor power at the reactor core region was $7.40{\times}10^5Bq/cm^3$ and at the bay region was $3.39{\times}10^5Bq/cm^3$. At 3 MW reactor power with active forced convection cooling mode, the N-16 activity concentration in the decay tank exit water was also determined, and the value was $4.14{\times}10^{-1}Bq/cm^3$.

The Effects of Chronic Ankle Instability on Postural Control during Forward Jump Landing (전방 점프 착지 시 만성 발목 불안정성이 자세 조절에 미치는 영향)

  • Kim, Kew-wan;Jeon, Kyoungkyu;Park, Seokwoo;Ahn, Seji
    • Korean Journal of Applied Biomechanics
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    • v.32 no.1
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    • pp.9-16
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    • 2022
  • Objective: The purpose of this study was to investigate how the chronic ankle instability affects postural control during forward jump landing. Method: 20 women with chronic ankle instability (age: 21.7 ± 1.6 yrs, height: 162.1 ± 3.7 cm, weight: 52.2 ± 5.8 kg) and 20 healthy adult women (age: 21.8 ± 1.6 yrs, height: 161.9 ± 4.4 cm, weight: 52.9 ± 7.2 kg) participated in this study. For the forward jump participants were instructed to stand on two legs at a distance of 40% of their body height from the center of force plate. Participants were jump forward over a 15 cm hurdle to the force plate and land on their non-dominant or affected leg. Kinetic and kinematic data were obtained using 8 motion capture cameras and 1 force plates and joint angle, vertical ground reaction force and center of pressure. All statistical analyses were using SPSS 25.0 program. The differences in variables between the two groups were compared through an independent sample t-test, and the significance level was to p < .05. Results: In the hip and knee joint angle, the CAI group showed a smaller flexion angle than the control group, and the knee joint valgus angle was significantly larger. In the case of ankle joint, the CAI group showed a large inversion angle at all events. In the kinetic variables, the vGRF was significantly greater in the CAI group than control group at IC and mGRF. In COP Y, the CAI group showed a lateral shifted center of pressure. Conclusion: Our results indicated that chronic ankle instability decreases the flexion angle of the hip and knee joint, increases the valgus angle of the knee joint, and increases the inversion angle of the ankle joint during landing. In addition, an increase in the maximum vertical ground reaction force and a lateral shifted center of pressure were observed. This suggests that chronic ankle instability increases the risk of non-contact knee injury as well as the risk of lateral ankle sprain during forward jump landing.

Prevalence of Abdominal Obesity and Associated Factors among Korean Adults: The 2001 Korean National Health and Nutrition Examination Survey (한국 성인의 복부비만 빈도와 관련 인자: 2001 국민건강영양조사)

  • Chung, Hae-Rang
    • Journal of Nutrition and Health
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    • v.39 no.7
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    • pp.684-691
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    • 2006
  • Abdominal obesity (AO) is a strong risk factor for type 2 diabetes and cardiovascular disease, which has shown a remarkable increase in Korea. This study aimed to identify prevalence of AO and related risk factors in Korean adults. A total of 5,132 men and women aged 20-85 years old from the 2001 Korean National Health and Nutrition Examination Survey were included in the analyses. AO was defined as waist circumference >=90 cm in men and >=85 cm in women as proposed by Korean Society of Obesity. Multiple logistic regression was carried out to identify risk factors for AO. Three models were specified: (i) demographic and socioeconomic factors (model 1: age, education, poverty income ratio, employment), (ii) lifestyle factors and covariates (model 2: physical activity, cigarette smoking, alcohol consumption, dietary quality, type 2 diabetes, co-morbidity) and (iii) demographic, socioeconomic and lifestyle factors (model 3). The prevalence of AO was 24.1 % in men, 23.5% in women. High poverty income ratio in men and low education attainment in women were risk factors for AO in model. 1. There was a significant association of AO with alcohol consumption, physical inactivity and dietary quality in men, alcohol consumption and cigarette smoking in women. These factors except alcohol consumption in men became insignificant in model 3. This findings underscore the importance of developing AO prevention programs in Korea that target the at risk groups identified in this study. A program focusing on low income men or less educated women would be more efficient.

Prognostic Analysis of Stage I Non-Small Cell Lung Cancer Abutting Adjacent Structures on Preoperative Computed Tomography

  • Soohwan Choi;Sun Kyun Ro;Seok Whan Moon
    • Journal of Chest Surgery
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    • v.57 no.2
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    • pp.136-144
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    • 2024
  • Background: Early non-small cell lung cancer (NSCLC) that abuts adjacent structures requires careful evaluation due to its potential impact on postoperative outcomes and prognosis. We examined stage I NSCLC with invasion into adjacent structures, focusing on the prognostic implications after curative surgical resection. Methods: We retrospectively analyzed the records of 796 patients who underwent curative surgical resection for pathologic stage IA/IB NSCLC (i.e., visceral pleural invasion only) at a single center from 2008 to 2017. Patients were classified based on tumor abutment and then reclassified by the presence of visceral pleural invasion. Clinical characteristics, pathological features, and survival rates were compared. Results: The study included 181 patients with abutting NSCLC (22.7% of all participants) and 615 with non-abutting tumors (77.3%). Those with tumor abutment exhibited higher rates of non-adenocarcinoma (26.5% vs. 9.9%, p<0.01) and visceral/lymphatic/vascular invasion (30.4%/33.1%/12.7% vs. 8.5%/22.4%/5.7%, respectively; p<0.01) compared to those without abutment. Multivariable analysis identified lymphatic invasion and male sex as risk factors for overall survival (OS) and disease-free survival (DFS) in stage I NSCLC measuring 3 cm or smaller. Age, smoking history, vascular invasion, and recurrence emerged as risk factors for OS, whereas the presence of non-pure ground-glass opacity was a risk factor for DFS. Conclusion: NSCLC lesions 3 cm or smaller that abut adjacent structures present higher rates of various risk factors than non-abutting lesions, necessitating evaluation of tumor invasion into adjacent structures and lymph node metastasis. In isolation, however, the presence of tumor abutment without visceral pleural invasion does not constitute a risk factor.

Measurement of Dose outside a 6 MV Field Edge Using Optically Stimulated Luminescent Nano Dot Dosimeters (광자극형광나노닷선량계를 사용한 6 MV 조사야 가장자리 바깥 선량 측정)

  • Kim, Jongeon;Kim, Wontae
    • Journal of the Korean Society of Radiology
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    • v.8 no.7
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    • pp.449-454
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    • 2014
  • The purpose of this study is(was) to investigate the shielding ratio of 1 mmPb and the off axis ratio outside the field edge at depth of 1 cm from a phantom surface for 6 MV photon beam. A dose of 180 cGy was delivered to a depth of 10 cm for a $10{\times}10cm^2$ and $15{\times}15cm^2$ field in the SAD technique. The off axis ratio was calculated by measuring the dose of optically stimulated luminescent nanoDot dosimeters(OSLnDs) positioned at 2, 4 and 6 cm from the field edge, and the center axis of field. And the shielding ratio of 1 mmPb was calculated by measuring the dose of OSLnDs positioned at 2, 4 and 6 cm from the field edge.. As a result, for a $10{\times}10cm^2$ and $15{\times}15cm^2$ field, the off axis ratios were acquired 0.008-0.023 and 0.011-0.028, respectively. Also the shielding ratios of 1 mmPb were acquired 0.868-0.888 and 0.807-0.842, respectively. These results provide data to protect organs at risk outside the radiation treatment field.