• Journal of Radiation Protection and Research
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• v.26 no.2
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• pp.59-66
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• 2001

It is a hot issue to determine the spatial location and shape of tumor boundary in fractionated stereotactic radiotherapy (FSRT). We could get consecutive transaxial plane images from the phantom (paraffin) and 4 patients with brain tumor using helical computed tomography(HCT). K-means classification algorithm was adjusted to change raw data pixel value in CT images into classified average pixel value. The classified images consists of 5 regions that ate tumor region (TR), normal region (NR), combination region (CR), uncommitted region (UR) and artifact region (AR). The major concern was how to separate the normal region from tumor region in the combination area. Relative average deviation analysis was adjusted to alter average pixel values of 5 regions into 2 regions of normal and tumor region to define maximum point among average deviation pixel values. And then we drawn gross tumor volume (GTV) boundary by connecting maximum points in images using semi-automatic contour method by IDL(Interactive Data Language) program. The error limit of the ROI boundary in homogeneous phantom is estimated within ${\pm}1%$. In case of 4 patients, we could confirm that the tumor lesions described by physician and the lesions described automatically by the K-mean classification algorithm and relative average deviation analyses were similar. These methods can make uncertain boundary between normal and tumor region into clear boundary. Therefore it will be useful in the CT images-based treatment planning especially to use above procedure apply prescribed method when CT images intermittently fail to visualize tumor volume comparing to MRI images.

• The Korean Journal of Nuclear Medicine Technology
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• v.18 no.2
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• pp.62-67
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• 2014

A glomerular filtration rate (GFR) study is a test that uses radioactive materials or tracers (radiopharmaceuticals) and a computer to see how well the kidneys are working. Asan Medical Center analyzed and compared data between kidney depth, acquired from kidney donors' CT image and acquired from Gates method's GFR value that are calculated by Tonnesen equation. This study was able to confirm that kidney depth measured from CT image was higher than the Gates Method's GFR value, which was calculated by Tonnessen equation; the direct relationship among pathologic results is confirmed. Particularly, kidney donor whose kidney was at the pelvic area had direct relationship with other clinical results. During the GFR test, it is necessary to confirm the location of kidney has no change with reference of CT image. If kidney depth is manually corrected using CT image when we measures GFR of deformed or horse-shoe kidney, it would be possible to acquire the compatible value which is equivalent to clinical result. There would be a possible issue of appropriateness that whether the applied GFR using CT image's kidney depth has clinical validity. In case of a pediatric patient, the GFR derived from Tonnesen was quiet underestimated while manual method and Gordon stay in normal range. Which results may be correct among them? There have been many reports about kidney depth, to be an accurate index of GFR in children. As one of the study performers, we should contemplate what the best option for pediatric patients would be.

• Childhood Kidney Diseases
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• v.6 no.1
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• pp.68-74
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• 2002

Purpose: Suprapubic bladder aspiration(SBA) of urine is the most reliable method to obtain urine avoiding contamination in non-toilet trained infants. Ultrasonography is a useful tool for guiding the anatomic location as well as for direct visualization during procedure. We evaluated the success rate and complication of ultrasound(US) assisted SBA Methods. Sixty infants who visited Ewha Womans University Mokdong Hospital, with suspected urinary tract infection were randomly divided into the US assisted (n=32) and blind SBA(control, n=28) group. In US assisted SBA group, the anteroposterior(AP), transverse, and sagittal diameters and the volume of the bladder were measured. In the blind SBA group, urine was blindly aspirated when the urinary bladder was palpated at the suprapubic area. The rate of successful urine aspiration, the number of attempts until successful aspiration, aspirated urine volume were compared between the two groups. Results: The success rate was $100\%$(32/32) in the US assisted group, which was significantly higher than $85.7\%$(24/28) of the control group (P<0.05). The aspirated urine volume in the US assisted group was $7.4{\pm}3.7\;mL$, which was significantly higher than $4.5{\pm}3.4\;mL$ of the control group (P<0.05), The diameters and volume of bladder in successful aspiration were $2.1{\pm}0.7\;cm$ in AP diameter, $3.1{\pm}0.6\;cm$ in transverse diameter, $4.2{\pm}1.0\;cm$ in sagittal diameter and $15.2{\pm}10.4\;mL$ in volume, which were significantly higher than those ($1.7{\pm}0.3\;cm,\;1.7{\pm}0.3\;cm,\;1.8{\pm}0.7\;cm,\;2.4{\pm]0.6\;cm,\;3.9{\pm}2.5$) of the control group (P<0.05) The correlations between the AP(r=0.78), transverse (r=0.72), sagittal(r=0.91) diameter and bladder volume were significant (P<0.05). SBA was $100\%$ successful in the AP diameter >3 cm, transverse diameter >4 cm, depth >4 cm and bladder volume >5 mL. Conclusion: US assistance can significantly improve the success rate of SBA in infant with suspected urinary tract infection. (J Korean Soc Pediatr Nephrol 2002 ; 6 : 68-74)

• Korean Journal of Environmental Biology
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• v.36 no.1
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• pp.11-20
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• 2018

In planktonic ecosystems, the microplastics are considered as a potential food source for the zooplankton. To study a relationship between the zooplankton and the neustonic microplastics, a research experiment was carried out during May in the surface layers of the Yeosu coastal areas including Yeoja Bay, Gamak Bay, Yeosuhae Bay, and Botdol Sea. A neustonic zooplankton net (mesh size $300{\mu}m$; mouth area $30cm{\times}18cm$) was towed from the side of the ship in the event that it would not be affected by waves crashing by the ship at a speed of ca. 2.5 knots. All of the microplastic particles were separated from the zooplankton. The zooplankton and microplastics were appearing in a range of 61 to $763indiv.m^{-3}$ and 0.0047 to $0.3471particle\;m^{-2}$, respectively. It was noted that the Acartia omorii, Paracalanus parvus s. l., Labidocera euchaeta, A. hongi, decapod larvae, and cirriped larvae were predominantly seen in the experiment. For verifying relationships between zooplankton and environmental factors in addition to microplastics, a model redundancy analysis (RDA) was performed. The zooplankton were divided into two groups on the basis of feeding types (i.e. particle feeders, and carnivores), and the associated zooplankton larvae were also separately considered. A review of the additional environmental factors such as water temperature, salinity, turbidity, chlorophyll-${\alpha}$ concentration, diatom density, and dinoflagellate density were also contained in the analysis. The results showed that a noted zooplankton abundance had no close relation with the occurring number of microplastic particles, but rather was significantly related with other noted environmental factors such as temperature, salinity, turbidity, and chlorophyll-${\alpha}$ concentration. This fact implies that most zooplankton can feed themselves as a unit, by selecting the most likely available nutritious foods, rather than microplastics under the circumstance of food-richness areas, such what food resources are available as in the location of coastal waters.

• Clinical and Experimental Pediatrics
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• v.48 no.8
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• pp.839-845
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• 2005

Purpose : Neck masses, in pediatric population, derive from a multitude of congenital, inflammatory, or neoplastic diseases. The majority of these masses represent benign conditions. However, thorough clinical evaluation is required to rule out malignant diseases. We evaluated the causes, clinical characteristics and outcomes of children with neck masses who underwent tissue biopsy. Methods : A total of 28 medical records of children with neck mass who underwent tissue biopsy at Chungnam National University Hospital, from January 2000 to March 2004 were retrospectively analyzed. The methods of biopsy were ultrasonography guided core biopsy(CB), fine needle aspiration biopsy(FNAB) and excisional biopsy. Results : Out of 28 patients, half were boys. The most common location of the mass was the posterior cervical area(N=19, 67.9%). Laboratory findings of peripheral blood and serologic studies were nonspecific. In 25(89.3%) cases, CB or FNAB was initially performed for neck masses. Among them 10 cases(40%) were reactive hyperplasia, 8(32%) inflammatory granulation tissues, 4(16%) necrotizing lymphadenitis, and 3(12%) acute suppurative inflammations. Initially, excisional biopsy was performed for diagnosis in 3(10.7%) cases. Diagnosis of these cases was thyroglossal duct cyst, dermoid cyst and lymphoblastic lymphoma, respectively. Conclusion : Most neck masses in children were benign. CB and FNAB were safe methods for tissue sampling, without need for general anesthesia.

• The Journal of Korean Society for Radiation Therapy
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• v.25 no.1
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• pp.9-14
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• 2013

Purpose: High-energy radiotherapy with 10 MV or higher develops photoneutron through photonuclear reaction. Photoneutron has higher radiation weighting factor than X-ray, thus low dose can greatly affect the human body. An accurate dosimetric calculation and consultation are needed. This study compared and analyzed the dose change of photoneutron in terms of space according to the size of photon beam energy and treatment methods. Materials and Methods: To measure the dose change of photoneutron by the size of photon beam energy, patients with the same therapy area were recruited and conventional plans with 10 MV and 15 MV were each made. To measure the difference between the two treatment methods, 10 MV conventional plan and 10 MV IMRT plan was made. A detector was placed at the point which was 100 cm away from the photon beam isocenter, which was placed in the center of $^3He$ proportional counter, and the photoneutron dose was measured. $^3He$ proportional counter was placed 50 cm longitudinally superior to and inferior to the couch with the central point as the standard to measure the dose change by position changes. A commercial program was used for dose change analysis. Results: The average integral dose by energy size was $220.27{\mu}Sv$ and $526.61{\mu}Sv$ in 10 MV and 15 MV conventional RT, respectively. The average dose increased 2.39 times in 15 MV conventional RT. The average photoneutron integral dose in conventional RT and IMRT with the same energy was $220.27{\mu}Sv$ and $308.27{\mu}Sv$ each; the dose in IMRT increased 1.40 times. The average photoneutron integral dose by measurement location resulted significantly higher in point 2 than 3 in conventional RT, 7.1% higher in 10 MV, and 3.0% higher in 15 MV. Conclusion: When high energy radiotherapy, it should consider energy selection, treatment method and patient position to reduce unnecessary dose by photoneutron. Also, the dose data of photoneutron needs to be systematized to find methods to apply computerization programs. This is considered to decrease secondary cancer probabilities and side effects due to radiation therapy and to minimize unnecessary dose for the patients.

• Journal of the Korean Institute of Landscape Architecture
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• v.43 no.6
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• pp.86-97
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• 2015

"The Jayeon Madang Development Project("JMDP")" is a project being promoted by the Ministry of Environment to create a cultural space and a natural rest area within the city. Abuksan, located at Abuksan in Gyeongsangnam-do Miryang-si Naeil-dong, has suffered a substantial amount of environmental degradation over time, so the need for ecological restoration made it a natural choice for the location of the JMDP's site. The purpose of this study is to examine ecological restoration design strategies used in Abuksan as part of the JMDP using system dynamics. The national archery center, hole, and arable land sites are key restoration areas in Abuksan that have faced with ecological problems. In this study, we identified the status of each site, determined key strategies being implemented, and designed based on the strategies implemented up to this point for solving problems associated with each sites through the use of causal loop diagrams. The results of the causal loop diagram analysis are as follows. The national archery center site was designed around strategies including planting green manure crops and introducing hugelkultur to reduce soil acidification and green network degradation. The hole site was designed as a constructed wetland based on the emergence of hygropreference vegetation, hydrated by rainwater collected at the bottom of hole, ecological and cultural benefits of such an environment. The arable land site restoration design was built around planting native vegetation on one part of the arable land site after soil quality improved and around restoration of grassland and a dry wetland on the other part of the site to reduce soil acidification, erosion, and green network degradation. This study is a significant attempt to apply principles of system dynamics to ecological restoration by providing the design strategies using comprehension of some problems in the ecosystem feedback loops, which has not been used before in general design processes for ecological restoration.

• Journal of the Korean Society for Marine Environment & Energy
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• v.4 no.4
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• pp.32-41
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• 2001

We measured the fluxes of COD, TN and 55 in addition to composition and quality of sediment in Komso Bay, West Coast of Korea. The fluxes of TN, SS and COD were measured during flood tide and ebb tide in April and August, 2000. Denitrification rates in the sediments was also measured by direct produced $N_2$ gas technique on April and August from 1999 to 2000 in the same sea area. The composition of the sediments were 0.33~5.67 % of sand, 20.2~25.6 of gravel and 68.7~77.0 % of silt. Ignition loss of the sediments were 6.58~7.50 %. The concentration of hydrogen sulfide in the sediments were 0.028~0.326 mg/gㆍdry and oxidation reduction potential of the sediments were -28~-15 mV Diurnal fluxes of COD, total nitrogen, and suspended solids with tidal current and denitrification rate in the tidal flat have been determined in Komso Bay The diurnal net flux of COD was same in April. While 14.4 ton COD/hr of net influx into the tidal flat was recorded in August. The diurnal net influx of total nitrogen was 0.16 ton N/hr in April and 1.13 ton N/hr in August. The diurnal net influx of suspended solids was 0.05 ton SS/hr in April, and also net influx of suspended solids was 0.29 ton SS/hr in August. The overall purification ability of the tidal flat were estimated 0.00~5.69 g COD/$m^2/day$, 0.06~0.45 g N/m²/day and 0.02~0.12 g SS/$m^2/day$ for COD, TN and SS, respectively. Denitrification rate was 0.009~1.720 m mole ${N_2}/m^2/day$ (average 0.702 m mole ${N_2}/m^2/day$) in April and 0.033~0.133 m mole ${N_2}/m^2/day$ (average 0.077 m mole ${N_2}/m^2/day$) in August, 1999. 0.000~l.909 m mole ${N_2}/m^2/day$ (average 0.756 m mole ${N_2}/m^2/day$) in April, 0.000~1.691 m mole ${N_2}/m^2/day$ (average 0.392 m mole ${N_2}/m^2/day$) in August, 2000. Even with a wide range of denitrification rate depending on the sampling location and studied periods, the average denitrification rate was estimated 0.482 m mole ${N_2}/m^2/day$ in the tidal flat of Komso Bay.

• Journal of Global Scholars of Marketing Science
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• v.20 no.2
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• pp.173-178
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• 2010

A privately held, third generation family owned company, Boom Technologies, Inc. (BTI), a provider of products and services to the electric utility, telecommunications and contractor markets, continues to make progress in exporting. Although export sales only equaled 5% of total revenue in 2008, BTI has an entire export division. Their export division's Managing Director reveals the trial and errors of a privately held company and their quest for success overseas. From its inception, BTI has always believed its greatest asset is its employees. When export sales struggled due to lack of strategy and direction, BTI hired a Managing Director for its export division. With leadership and guidance from BTI's president and from the Managing Director, they utilized the department's skills and knowledge. Structural changes were made to expand their market presence abroad and increase export sales. As a result, export sales increased four-fold, area managers in new countries were added and distribution networks were successfully cultivated. At times, revenue generation was difficult to determine due to the structure of the company. Therefore, in 1996, the export division was restructured as a limited liability company. This allowed the company to improve the tracking of revenue and expenses. Originally, 80% of BTI's export sales came from two countries; therefore, the initial approach to selling overseas was not reaching their anticipated goals of expanding their foreign market presence. However, changes were made and now the company manages the details of selling to over 80 countries. There were three major export expansion challenges noted by the Managing Director: 1. Product and Shipping - The major obstacle for BTI was product assembly. Originally, the majority of the product was assembled in the United States, which increased shipping and packaging costs. With so many parts specified in the order, many times the order would arrive with parts missing. The missing parts could equate to tens of thousands of dollars. Shipping these missing parts separately in another shipment also cost tens of thousands of dollar, plus a delivery delay time of six to eight weeks; all of which came out of the BTI's pockets. 2. Product Adaptation - Safety and product standards varied widely for each of the 80 countries to which BTI exported. Weights, special licenses, product specification requirements, measurement systems, and truck stability can all differ from country to country and can serve as a type of barrier to entry, making it difficult to adapt products accordingly. Technical and safety standards are barriers that serve as a type of protection for the local industry and can stand in the way of successfully pursuing foreign markets. 3. Marketing Challenges - The importance of distribution creates many challenges for BTI as they attempt to determine how each country prefers to operate with regard to their distribution systems. Some countries have competition from a small competitor that only produces one competing product; whereas BTI manufactures over 100 products. Marketing material is another concern for BTI as they attempt to push marketing costs to the distributors. Adapting the marketing material can be costly in terms of translation and cultural differences. In addition, the size of paper in the United States differs from those in some countries, causing many problems when attempting to copy the same layout and With distribution being one of several challenges for BTI, the company claims their distribution network is one of their competitive advantages, as the location and names of their distributors are not revealed. In addition, BTI rotates two offerings yearly: training to their distributors one year and then the next is a distributor's meeting. With a focus on product and shipping, product adaptation, and marketing challenges, the intricacies of selling overseas takes time and patience. Another competitive advantage noted is BTI's cradle to grave strategy, where they follow the product from sale to its final resting place, whether the truck is leased or purchased new or used. They also offer service and maintenance plans with a detailed cost analysis provided to the company prior to purchasing or leasing the product. Expanding abroad will always create challenges for a company. As the Managing Director stated, "If you don't have patience (in the export business), you better do something else." Knowing how to adapt quickly provides BTI with the skills necessary to adjust to the changing needs of each country and its own unique challenges, allowing them to remain competitive.

• Journal of Aquaculture
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• v.11 no.3
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• pp.391-400
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• 1998

This study was performed to investigate the effects of environmental parameters on the growth of Pacific oyster, Crassostrea gigas at old suspended culturing grounds of Korsung Bay and newly deveoped bottom, culturing grounds of Haenam region located in southern coast of Korea. The Kosung Bay was semiclosed and water exchange occurred through the small mouth and the current speed was very slow as the value of below 0.5kn. Haenam was opened and littoral zone. Current speed of the surroundings of this Bay about to 5.0knand transparency was low with the mean depth of 1.2m by the resuspension of the sediments. Water temperature and salinity regimes were suitable for oysters at those sites, however the mean value of those parameters and seasonal fluctuations was high at Kosung. The mean concentration of dissolved oxygen in survey area was above $5.0mg/\ell$. In Kosung, however, it was decreasing in June and showed the minimum with the concentration of $4.0mg/\ell$ in August at the bottom layer and recovered in September. Eutrophication parameters such as COD were 1.44 mg/l at this location. This mean value was higher than that of the Haenam Bay's $0.96mg/\ell$. The men value of chlorophyll-$\alpha$ at Haenam was two times higher than the other sites. Growth of shell height and meat weight of oysters at Kosung Bay were higher and the fatness was lower compared to thost of Haenam. As a result, absolute growth of oysters was high at Kosung and allometric growth, such as fatness, was good at Haenam. Low water temperature and frequent exposure of oysters to the air during ebb tide may retard the shell growth. On the other hand, relatively high food availability was profitable for the fatness at haenam site.