Purpose: To evaluate the long term results(local control, survival, failure, and complications) after radiation therapy for skin cancer in elderly patients. Material and Methods: The study spanned from January 1990 to October 2002. Fifteen elderly patients with skin cancer were treated by radiotherapy at the Keimyung University Dongsan Medical Center. The age distribution of the patients surveyed was 72 to 95 years, with a median age of 78.8 years. The pathologic classification of the 15 patients included squamous cell carcinoma(10 patients), basal cell carcinoma(3 patients), verrucous carcinoma(1 patient) and skin adnexal origin carcinoma(1 patient). The most common tumor location was the head(13 patients). The mean tumor diameter was 4.9 cm(range 2 to 9 cm). The radiation dose was delivered via an electron beam of 6 to 15 MeV. The dose range was adjusted to the tumor diameter and depth of tumor invasion. The total radiation dose ranged from $50{\sim}80$ Gy(mean: 66 Gy) with a 2 Gy fractional dose prescribed to the 80% isodose line once a day and 5 times a week. One patient with lymph node metastasis was treated with six MV photon beams boosted with electron beams. The length of the follow-up periods ranged from 10 to 120 months with a median follow-up period of 48 months. Results: The local control rates were 100%(15/15). In addition, the five year disease free survival rate(5YDFS) was 80% and twelve patients(80%) had no recurrence and skin cancer recurrence occurred in 3 patients(20%). Three patients have lived an average of 90 months($68{\sim}120$ months) without recurrence or metastasis. A total of 9 patients who died as a result of other causes had a mean survival time of 55.8 months after radiation therapy. No severe acute or chronic complications were observed after radiation therapy. Only minor complications including radiation dermatitis was treated with supportive care. Conclusion: The results suggest that radiation therapy is an effective and safe treatment method for the treatment of skin cancer in elderly patients who achieved a good survival rate and few minor complications.
This study investigated the method to adjust acquisition time(a) and injection dose (i) to make the best basal and subtraction images in consecutive SPECT. Image quality was assumed to be mainly affected by signal to noise ratio(S/N). Basal image was subtracted from the second image consecutively acquired at the same position. We calculated S/N ratio in basal SPECT images($S_1/N_1$) and subtraction SPECT images(Ss/Ns) to find a(time) and i(dose) to maximize S/N of both images at the same time. From phantom images, we drew the relation of image counts and a(time) and i(dose) in our system using fanbeam-high-resolution collimated triple head SPECT. Noise by imaging process depended on Poisson distribution. We took maximum tolerable duration of consecutive acquisition as 30 minutes and maximum injectible dose as 1,850MBq(50 mCi)(sum of two injections) per study. Counts of second-acquired image($S_2$), counts($S_s$) and noise($N_s$) of subtraction SPECT were as follows. $C_1$ was the coefficient of measurement with our system. $$S_2=S_1{\cdot}(\frac{30-a}{a})+background{\cdot}(1-\frac{30-a}{a})+C_1{\cdot}(30-a){\cdot}{\epsilon}{\cdot}(50-i)$$$$Ss=S_2-\{S_1{\cdot}(\frac{30-a}{a})+background{\cdot}(1-\frac{(30-a)}{a})\}$$$$Ns={\sqrt{N_2^2+N_1^2{\cdot}\frac{(30-a)^2}{a^2}}={\sqrt{S_2+S_1{\cdot}\frac{(30-a)^2}{a^2}}$$ In case of rest/acetazolamide study, effect(${\epsilon}$) of acetazolamide to increase global brain uptake of Tc-99m-HMPAO could be 1.5 or less. Varying ${\epsilon}$ from 1 to 1.5, a(time) and i(dose) pair to maximize both $S_1/N_l$ and Ss/Ns was determined. 15 mCi/17 min and 35mCi/13min was the best a(time) and i(dose) pair for rest/acetazolamide study(when ${\epsilon}$ were 1.2) and came to be used for our clinical routine after this study. We developed simple method to maximize S/N ratios of basal and subtraction SPECT from consecutive acquisition. This method could be applied to ECD/HMPAO and brain activation studies as well as rest/acetazolamide studies.
Kim, Hye-Suk;Yang, Soo-Kyeong;Park, Chan-Ho;Han, Byung-Wook;Kang, Kyung-Tae;Ji, Seung-Gil;Sye, Youn-Eon;Heu, Min-Soo;Kim, Jin-Soo
Journal of the Korean Society of Food Science and Nutrition
/
v.34
no.8
/
pp.1265-1273
/
2005
The purpose of this study was to prepare accelerated salt-fermented anchovy sauce using a shrimp processing byproducts (head, shell and tail) as a fermenting accelerator, and to investigate its physicochemical and enzymatic properties. Four types of sauces were prepared with 0, 10, 20, and 30$\%$ (w/w) addition of shrimp byproduct and fermented at 24$\pm$2$^{\circ}C$ for 360 days. During fermentation, all four type sauces decreased moisture content (67.5$\%$68.0$\%$ to 64.0$\∼$64.8$\%$) and pH (5.52$\∼$7.10 to 5.03$\∼$6.58), but showed increase in their crude protein (7.0$\∼$8.2 to 10.8$\%$) and volatile basic nitrogen contents (40$\∼$75 to 180$\∼$200 mg/100 g of sauce). The ratio of amino nitrogen to total nitrogen contents of control (0$\%$) and sauce with 10$\%$ shrimp byproducts (10$\%$ sauce) were maximized at 270 days, whereas 20$ \% $ and 30$\%$ added sauces were at 180 days. Endoprotease and exoprotease activities of anchovy sauces added with 20$\%$ and 30$\%$ of shrimp byproducts tend to be higher than those of control (0$\%$) and 10$\%$ addition. Proteolytic activities of sauces at pH 9 were about 2 times higher than those at pH 6. Amidolytic activities for LeuPNA decreased remarkably during fermentation, and control (0$\%$) almost lost their activity at 180 days, while additional sauces were relatively stable. These suggest that alkaline pretense of anchovy and shrimp byproducts as a endoprotease mainly contributed to the fermentation of salt-fermented sauces. The protein molecular weight distribution of sauces indicated 2 groups of peaks (peak 1,>70,000 da and peak 2, 3,000$\∼$29,000 da). As the fermentation proceeded, peak 1 tended to decrease in all of sauces, but peak 2 increased rapidly from 30 to 270 days. Optimum fermentation periods of control and 10$\%$ sauces were 270 days and those of 20$\%$ and 30$\%$ sauce were 180 days. The results suggest that shrimp byproduct can be used as accelerator of salt-fermented sauce.
Occurrences of sandstorms in the deserts and loess of Mongolia and northern China and associated dustfall episodes in the Korean Peninsula were monitored during the period January through December, 2005. False colour images were made by directly receiving the NOAA Advanced Very High Resolution Radiometer (AVHRR) data, and the distribution and transport of sandstorms were analyzed. The ground concentrations for PM10, PM2.5 and visibility of the dustfall episodes (PM10 concentration over $190{\mu}g\;m^{-3}$) were analyzed at Cheongwon, located midway in South Korea, and in the leeward direction of the place of origin of the sandstorms. Variations in the concentrations of $O_3,\;NO_2$, CO and $SO_2$ were also compared with dust concentrations in the dustfall episodes. Fewer occurrences of strong sandstorms in the place of origin were observed in 2005, due largely to the accumulation of snow and mild fluctuations of high and low pressure systems in the place of origin, thereby accounting for a low frequency of dustfall episodes in Korea, compared with those during the period 1997-2005. A total of 7 dustfall episodes were monitored in Korea in 2005 that lasted 11 days. In summer, sandstorms occurred less frequently in the source region in 2005 due to high humidity and milder winds, thereby causing no dustfall episodes in Korea. In case the sandstorms occurring at the place of source head directly to Korea without passing through large cities and industrial areas of China, the PM2.5 concentrations were measured at 20% or lower than the PM10 concentrations. However, when the sandstorms headed to Korea via the industrial areas of eastern China, where they pick up anthropogenic air pollutants, the PM2.5 concentrations were at least 25% higher of the PM10 concentrations. On the other hand, over 5 cases were observed and analyzed in 2005 where the PM10 concentrations of sand dust originating from the deserts were measured at $190{\mu}g\;m^{-3}$ or lower, falling short of the level of a dustfall episode.
Purpose : Three-dimensional radiation dosimetry using magnetic resonance imaging of polymer gel was recently introduced. This dosimetry system is based on radiation induced chain polymerization of acrylic monomers in a muscle equivalent gel and provide accurate 3 dimensional dose distribution. We planned this study to evaluate the clinical value of this 3-dimensional dosimetry. Materials and Methods: The polymer gel poured into a cylindrical glass flask and a spherical glass flask. The cylindrical test tubes were for dose response evaluation and the spherical flasks, which is comparable to the human head, were for isodose curves. T2 maps from MR images were calculated using software, IDL. Dose distributions have been displayed for dosimetry. The same spherical flask of gel and the same irradiation technique was used for film and TLD dosimetry and compared with each other. Results : The R2 of the gel respond linearly with radiation doses in the range of 2 to 15 Gy. The repeated dosimetry of spherical gel showed the same isodose curves. These isodose curves were identical to dose distributions from treatment planning system especially high dose range. In addition, the gel dosimetry system showed comparable or superior results with the film and TLD dosimetry. Conclusion : The 3-dimensional dosimetry for conformal radiation therapy using MRI of polymer gal showed stable and accurate results. Although more studies are needed for convenient clinical application, it appears to be a useful tool for conformal radiation therapy.
Purpose : This study was performed to measure dose alteration at the air-tissue interface resulting from rebuild-up to the loss of charged particle equilibrium in the tissues around the air-tissue interfaces. Materials and Methods : The 6 and 10-MV photon beam in dual energy linear accelerator were used to measure the surface dose at the air-tissue interface The polystyrene phantom sized $25{\times}25{\times}5\;cm^3$ and a water phantom sized $29{\times}29{\times}48\;cm^3$ which incorporates a parallel-plate ionization chamber in the distal side of air gap were used in this study. The treatment field sizes were $5{\times}5\;cm^2,\;10{\times}10\;cm^2\;and\;20{\times}20\;cm^2$. Air cavity thickness was variable from 10 mm to 50 mm. The observed-expected ratio (OER) was defined as the ratio of dose measured at the distal junction that is air-tissue interface to the dose measured at the same point in a homogeneous phantom. Results : In this experiment, the result of OER was close or slightly over than 1.0 for the large field size but much less (about 0.565) than 1.0 for the small field size in both photon energy. The factors to affect the dose distribution at the air-tissue interface were the field size, the thickness of air cavity. and the photon energy. Conclusion : Thus, the radiation oncologist should take into account dose reduction at the air-tissue interface when planning the head and neck cancer especially pharynx and laryngeal lesions, because the dose can be less nearly $29{\%}$ than predicted value.
The prevalences of the cuke belonging to genus Metagonimus hove been reported along the upper stream of inhabitants by several workers since 1980, however the taxonomical problems of the fluke was not yet settled. The larval flukes; cercaria and metacercaria as well as their intermediate hosts, and adult were studied in order to identify the Mepagonimus in the areas. The results obtained are summarized as follows: 1. The snails, Semisulcospira globus were collected (rom the three different localities along the upper stream of the River. The cercariae were found from 125(7.2%) out of 1,730 snails by natural emerging method, and were identified into 5 species including Metagenimus sp. (3.7%), Pseudexorchis major(1.4%), Cercaria nipponensis (0.9%), Cercaria incerpa(0.6%), and Cercaria yoshidae(0.6%). Cercariae of Metagonimus species had four to dye oral spines on its anterior of the first line. 2. The cercariae of Metagonimus were experimentally exposed to goldfish. nfection rate was 22.9% out of 105 goldfish, and the encysted metacercariae were found in fins(86.7%) and on scales (13.7%) of the fishes, but not in their muscle, head or visceral organs. 3. Seven species of ask were caught in the Daecheong Reservoir and the upper stream. Infestations with metacercaria of Metagonimus were found 100% in Opsariichtys widens and the parasitized numbers of the metacercariae were observed from 250 to 2,400 per fish. In the upper stream, Zacco termmincki, Z. platypus and Pseudogobio esocinus were infected 100% with the metacercaria, on the other hand, the fishes caught in the reservoir showed the lower infestation rates, and a few metacercariae found in the fishes Carassius carassius and Cyprinus carpio in the reservoir and the stream. The majority of metacercariae was detected only on the scales of fishes. 4. In order to know the infectivity and the distribution patterns in the intestine of hosts, rats and dogs were infected with the metacercariae obtained from O. bidens and Z. platypus. In addition the metacercariae obtained from Z. temmincki, P. esocinus and goldfish were given to the rats. The recovery rates of the worms in the small intestine of dogs were higher (63.3~65.8%) than those of the rats (3.5~31.6%). The flukes were found mostly in the middle and the lower part of small intestine of the rats and the dogs, but no worm was collected in the upper part of the intestine of rats. 5. The sixte of adult flukes varied by the hosts. In the adult cukes, oral sucker was smaller than ventral sucker, and the right and left testes were located diagonally, the uterine tubules circled around the upper left testis. The average egg sixte was $29.1{\times}1.7{\mu\textrm{m}}$. According to the above results, the cukes belonging to genus Metagonimus distributed along the Geum River was concluded to be identical with Miyata type of M. yokogawai as that Saito had proposed.
Park, Kyeong-Hun;Yun, Hye-Jeong;Ryu, Kyoung-Yul;Yun, Jeong-Chul;Lee, Jeong-Ju;Hwang, Hyun-Ah;Kim, Ki-Deog;Jin, Yong-Ik
Korean Journal of Soil Science and Fertilizer
/
v.44
no.6
/
pp.1027-1034
/
2011
In order to provide the basic information on the agricultural environment in Daegwallyeong Highland, the characters of weather, water, and soil quality were investigated. The meteorological characteristics was monitored by automatic weather system (AWS) at 17 sites. The quality of water for samples were collected monthly at 24 sites depending on landuse style. Soil samples were collected from a forest, grassland, and the major vegetable cultivation areas such as potato, carrot, Chinese cabbage, onion, head lettuce, and welsh onion field. The weather showed the mountain climate, and the average yearly temperature is $6.4^{\circ}C$, the average temperature in January is $-7.6^{\circ}C$ and the average temperature in July is $19.1^{\circ}C$, and the change of temperature on the districts of Daegwallyeong is severe. The yearly record of precipitation shows 1717.2 mm. The water quality of crop field was worse than forest or grassland in Daewallyeong highland. In 2005, annual T-N, T-P, SS distribution of Chinese cabbage field showed 7.4~11.3, 0.061~0.1, and $3.0{\sim}53.0mg\;L^{-1}$. The potato field showed 3.1~7.2, 0.019~0.056 and $0.5{\sim}3.0mg\;L^{-1}$, respectively. Being compared of water quality between potato field and chinese cabbage field, it showed that the water quality of Chinese cabbage field was worse than potato field. On farming, the soil of crop cultivation showed pH 5.6 to 6.8, $18.0{\sim}42.4g\;kg^{-1}$ of OM, $316{\sim}658mg\;kg^{-1}$ of Avail. $P_2O_5$. The content of cations showed $0.41{\sim}0.88cmol_c\;kg^{-1}$ of Exch. K, $3.73{\sim}7.07cmol_c\;kg^{-1}$ of Exch. Ca and $1.17{\sim}1.90cmol_c\;kg^{-1}$ of Exch. Mg.
Kim, Yeon-Deok;Hwang, Beoung-Hyeon;Cho, Sung-Woo;Kim, Sang-Hwan
Journal of Korean Tunnelling and Underground Space Association
/
v.23
no.4
/
pp.233-252
/
2021
This paper is a study to improve the efficiency of mixing technology in the shield TBM chamber. Currently, the number of construction cases using the TBM method is increasing in Korea. According to the increasing use of TBM method, research on TBM method such as Disc Cutter, Cutter bit, and Segment also shows an increasing trend. However, there is little research on the mixing efficiency in chamber and chamber. In order to improve the smooth soil treatment and the behavior of the excavated soil, a study was conducted on the change of the mixing efficiency according to the effective mixing bar arrangement in the chamber. In the scale model experiment, the ground was composed using plastic materials of different colors for ease of identification. In addition, the mixing bar arrangement was different and classified into 4 cases, and the particle size distribution was classified into single particle size and multiple particle size, and the experiment was conducted with a total of 8 cases. The rotation speed of the cutter head of all cases was the same as 5 RPM, and the experiment time was also carried out in the same condition, 1 minute and 30 seconds. In order to check the mixing efficiency, samples at the upper, middle (left or right), and lower positions of each case were collected and analyzed. As a result of the scaled-down model experiment, the mixing efficiency of Case 4 and Case 4-1 increased compared to Case 1 and Case 1-1, which are actually used. Accordingly, it is expected that the mixing efficiency can be increased by changing the arrangement of the mixing bar in the chamber, and it is considered to be effective in saving air as the mixing efficiency increases. Therefore, this study is considered to be an important indicator for the use of shield TBM in Korea.
In this study, we investigated current vegetation and assessed the health of vegetation through the KERVI (Korea Estuary Riparian Vegetation Index) to monitor vegetation changes near estuaries due to the opening of the Nakdong River estuary. As the first investigation of the long-term monitoring, six areas near the Nakdong River estuary were surveyed twice in July and October 2021, and vegetation monitoring and a survey of species composition and distribution density of aquatic, riparian, and land plants were carried out. The survey identified 262 taxa, 82 families, 192 genera, 196 species, 3 subspecies, 26 varieties, and 1 form of vascular plants in the surveyed area. The results of the vegetation health assessment through KREVI showed that sites 1 and 6 were rated "Very good" in both surveys, sites 2 and 4 were rated "Very good" in the first survey and then "Good"in the second survey, and site 3 and 5 were rated one grade higher in the second survey than the first survey. The assessment showed that the health grades of most species in the survey area were generally high. Most of the potential natural vegetation after the opening of estuary gates to create a brackish water area is expected to consist of reed (Phragmites communisTrin.) communities. The area of the willow (Salix koreensisAndersson) community adjacent to the water area may be somewhat narrower, but the community will be maintained. In the case of freshwater areas in inland areas with very low salinity, reeds (Phragmites communisTrin.) are expected to occupy most of them, and some communities such as amur silver-grass (Miscanthus sacchariflorusBenth.) and cattails (Typha orientalisC. Presl) are expected to be distributed. We suggest establishing measures such as estuary gate operation to create healthy brackish water regions through long-term monitoring.
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