• 한국방재학회 논문집
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• 제9권4호
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• pp.29-35
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• 2009

본 연구에서는 기본 통계치 비교, K-S 검정 및 상자그림과 같은 통계적 기법을 이용하여 측우기 강우량 관측계열(CWK)과 근대우량계 강우량 관측계열(MRG)에 대해 정량적 동질성 분석을 실시하였다. 측우기 관측계열과 근대우량계 관측계열간의 월별 동질성을 분석하기 위해 월강우량, 월강우량에 대한 해당월 최대 일강우량의 비, 월강우일수, 일강우강도의 4개 강우특성자료 계열을 산정하였고, 이표본 K-S 검정을 통한 분포에 대한 동질성 검정과 상자그림을 이용한 정량적 비교를 수행하였다. 분석 결과 각 분석과정에서 M00은 전체적으로 CWK와 MRG의 월강우일수간 차이에 명확한 통계적 유의성을 보이고 있어 CWK와 MRG 간의 관측정밀도에 차이가 있다고 판단된다. 그러나, CWK와 MRG의 강우량은 상대적으로 유의성이 크지 않은 미소한 차이를 보이고 있는 것으로 나타났다.

• 한국의학물리학회지:의학물리
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• 제33권4호
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• pp.121-128
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• 2022

Purpose: This study evaluated the quality of plans based on magnetic resonance-guided radiotherapy (MRgRT) tri-Co-60, linac, and conventional linac-based volumetric modulated arc therapy (linac-VMAT) for prostate cancer. Methods: Twenty patients suffering from prostate cancer with intermediate risk who were treated by MAT were selected. Additional treatment plans (primary and boost plans) were generated based on MRgRT-tri-Co-60 and MRgRT-linac. The planning target volume (PTV) of MRgRT-based plans was created by adding a 3 mm margin from the clinical target volume (CTV) due to high soft-tissue contrast and real-time motion imaging. On the other hand, the PTV of conventional linac was generated based on a 1 cm margin from CTV. The targets of primary and boost plans were prostate plus seminal vesicle and prostate only, respectively. All plans were normalized to cover 95% of the target volume by 100% of the prescribed dose. Dosimetric characteristics were evaluated for each of the primary, boost, and sum plans. Results: For target coverage and conformity, the three plans showed similar results. In the sum plans, the average value of V_65Gy of the rectum of MRgRT-linac (2.62%±2.21%) was smaller than those of MRgRT tri-Co-60 (9.04%±3.01%) and linac-VMAT (9.73%±7.14%) (P<0.001). In the case of bladder, the average value of V_65Gy of MRgRT-linac was also smaller. Conclusions: In terms of organs at risk sparing, MRgRT-linac shows the best value while maintaining comparable target coverage among the three plans.

• Journal of Korean Neurosurgical Society
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• 제62권1호
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• pp.10-26
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• 2019

Magnetic resonance-guided focused ultrasound (MRgFUS) is an emerging new technology with considerable potential to treat various neurological diseases. With refinement of ultrasound transducer technology and integration with magnetic resonance imaging guidance, transcranial sonication of precise cerebral targets has become a therapeutic option. Intensity is a key determinant of ultrasound effects. High-intensity focused ultrasound can produce targeted lesions via thermal ablation of tissue. MRgFUS-mediated stereotactic ablation is non-invasive, incision-free, and confers immediate therapeutic effects. Since the US Food and Drug Administration approval of MRgFUS in 2016 for unilateral thalamotomy in medication-refractory essential tremor, studies on novel indications such as Parkinson's disease, psychiatric disease, and brain tumors are underway. MRgFUS is also used in the context of blood-brain barrier (BBB) opening at low intensities, in combination with intravenously-administered microbubbles. Preclinical studies show that MRgFUS-mediated BBB opening safely enhances the delivery of targeted chemotherapeutic agents to the brain and improves tumor control as well as survival. In addition, BBB opening has been shown to activate the innate immune system in animal models of Alzheimer's disease. Amyloid plaque clearance and promotion of neurogenesis in these studies suggest that MRgFUS-mediated BBB opening may be a new paradigm for neurodegenerative disease treatment in the future. Here, we review the current status of preclinical and clinical trials of MRgFUS-mediated thermal ablation and BBB opening, described their mechanisms of action, and discuss future prospects.

• 한국수자원학회논문집
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• 제43권7호
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• pp.645-655
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• 2010

본 논문에서는 각각의 시점에서의 변화확률을 산정하여 변화시점을 추정하는 Barry and Hartigan (BH)의 베이지안 변화시점 추정방법(Bayesian changing points estimation method)을 이용하여 측우기 관측자료계열(CWK)과 근대우량계 관측자료계열(MRG)간의 변화에 대한 상대확률적 절점의 발생여부를 분석하였다. 어떠한 자연 현상도 완전히 동일하게 재현되지 않기때문에 시간적인 순서를 고려하지못하는 통계적 방법은 구체적인발생시간을 예측하기 어렵다는 점에서 자료의 변화량 파악은 가능하나 변화시점을 명확히 추정하는데 한계가 있다. 이러한 배경에서, 본 논문에서는 각 시점에서의 변화확률을 산정하여 변화시점을 추정하는 BH 베이지안 방법을 적용하여 CWK와 MRG의 각 강우특성별로 상대확률적인 변화시점 분석을 통하여 CWK와 MRG 간의 동질성 분석을 실시하였다. 분석 결과, CWK의 정성적인(본질적인) 통계적 특성은 MRG와 큰 차이가 없는 것으로 나타났다. 다만, 관측정밀도의 한계로 인한 정량적인 차이가 존재하는 것으로 분석되었다.

• 국제학술발표논문집
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• The 3th International Conference on Construction Engineering and Project Management
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• pp.800-807
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• 2009

The limited public funds available for infrastructure projects have led governments to consider private entities' participation in long-term contracts for finance, construction, and operation of these projects to share risks and rewards between the public and the private. Because these projects have complicated risk evolutions, diverse contractual forms for each project member to hedge risks involved in a project are necessary. In light of this, Build-Operate-Transfer(BOT) model is considered as effective to accomplish Public Private Partnerships(PPPs) with a characteristic of an ownership-reversion. In BOT projects, the government has used such an incentive system as minimum revenue guarantee(MRG) agreement to attract the private's participation. Although this agreement turns out critical in success of BOT project, there still exist problematic issues in a financial feasibility analysis since the traditional capital budgeting theory, Net Present Value(NPV) analysis, has failed to evaluate the contingent characteristic of MRG agreement. The purpose of this research is to develop real option model based on option pricing theory so as to provide a theoretical framework in valuing MRG agreement in BOT projects. To understand the applicability of the model, the model is applied to the example of the BOT toll road project and the results are compared with that by NPV analysis. Finally, we found that the impact of the MRG agreement is significant on the project value. Hence, the real option model can help the government establish better BOT policies and the developer make appropriate bidding strategies.

• 대한방사선치료학회지
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• 제32권
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• pp.73-83
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• 2020

목 적: 본 연구에서는 췌장암 환자 MRgART(Magnetic Resonance-guided Adaptive Radiation Therapy)시 복부가스용적변화로 인하여 Image fusion 과정에서 생길 수 있는 조직과 가스의 전자밀도 매칭오류를 확인하고 그에 따른 선량 변화와 치료시간에 미치는 영향을 확인해 보고자 한다. 대상 및 방법: 본원에서 ViewRay MRIdian System (Viewray, USA)를 이용하여 MRgART를 시행한 췌장암 환자 중 최초 simulation시와 비교하여 복부가스용적감소가 발생한 환자를 대상으로 Initial plan과 복부가스 전자밀도를 수정한 AGC(Abdominal gas correction) plan의 PTV와 OAR선량을 비교하였고, 총4회 Adaptive 치료에서 환자의 Beam ON(%)을 확인하여 복부가스용적이 치료시간에 미치는 영향을 확인해 보았다. 결 과: Initial plan에서의 Mean, Minimum, Maximum 선량과 AGC plan의 Mean, Minimum, Maximum 선량평균값을 비교하였을 시 OAR에서는 -7~0.1%의 선량차이를 보였으며 평균 0.16% 감소하였고, PTV에서는 4.5~5.5%의 선량이 감소하였으며 평균 5.1%의 선량이 감소하였다. Adaptive치료 시 복부가스용적이 증가할수록 Beam ON(%)이 감소하였다. 결 론: Initial plan과 Adaptive plan간 복부가스용적 변화는 Adaptive plan시 전자밀도매칭 오류로 이어질 수 있으며 이는 PTV와 주변OAR의 선량분포를 변화시키므로 Adaptive plan시 영상 fusion 과정에서 가스용적을 보정한 정확한 전자밀도매칭은 필수적인 요소이다. 또한 복부가스용적이 커질수록 Beam ON(%)이 감소하여 환자의 Motion error로 인한 치료시간이 증가될 수 있다. 따라서 MRgART시에는 전자밀도매칭을 확인하고 복부가스의 가변성을 최소화 하여야 한다.

• Journal of Korean Medical Science
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• 제33권44호
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• pp.279.1-279.16
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• 2018

Magnetic resonance-guided focused ultrasound (MRgFUS) is a new emerging neurosurgical procedure applied in a wide range of clinical fields. It can generate high-intensity energy at the focal zone in deep body areas without requiring incision of soft tissues. Although the effectiveness of the focused ultrasound technique had not been recognized because of the skull being a main barrier in the transmission of acoustic energy, the development of hemispheric distribution of ultrasound transducer phased arrays has solved this issue and enabled the performance of true transcranial procedures. Advanced imaging technologies such as magnetic resonance thermometry could enhance the safety of MRgFUS. The current clinical applications of MRgFUS in neurosurgery involve stereotactic ablative treatments for patients with essential tremor, Parkinson's disease, obsessive-compulsive disorder, major depressive disorder, or neuropathic pain. Other potential treatment candidates being examined in ongoing clinical trials include brain tumors, Alzheimer's disease, and epilepsy, based on MRgFUS abilities of thermal ablation and opening the blood-brain barrier. With the development of ultrasound technology to overcome the limitations, MRgFUS is gradually expanding the therapeutic field for intractable neurological disorders and serving as a trail for a promising future in noninvasive and safe neurosurgical care.

• Journal of Korean Neurosurgical Society
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• 제62권3호
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• pp.353-360
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• 2019

Epilepsy surgery that eliminates the epileptogenic focus or disconnects the epileptic network has the potential to significantly improve seizure control in patients with medically intractable epilepsy. Magnetic resonance-guided laser interstitial thermal therapy (MRgLITT) has been an established option for epilepsy surgery since the US Food and Drug Administration cleared the use of MRgLITT in neurosurgery in 2007. MRgLITT is an ablative stereotactic procedure utilizing heat that is converted from laser energy, and the temperature of the tissue is monitored in real-time by MR thermography. Real-time quantitative thermal monitoring enables titration of laser energy for cellular injury, and it also estimates the extent of tissue damage. MRgLITT is applicable for lesion ablation in cases that the epileptogenic foci are localized and/or deep-seated such as in the mesial temporal lobe epilepsy and hypothalamic hamartoma. Seizure-free outcomes after MRgLITT are comparable to those of open surgery in well-selected patients such as those with mesial temporal sclerosis. Particularly in patients with hypothalamic hamartoma. In addition, MRgLITT can also be applied to ablate multiple discrete lesions of focal cortical dysplasia and tuberous sclerosis complex without the need for multiple craniotomies, as well as disconnection surgery such as corpus callosotomy. Careful planning of the target, the optimal trajectory of the laser probe, and the appropriate parameters for energy delivery are paramount to improve the seizure outcome and to reduce the complication caused by the thermal damage to the surrounding critical structures.

• Journal of Microbiology and Biotechnology
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• 제33권12호
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• pp.1606-1614
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• 2023

Biochemical gut metabolism of dietary bioactive compounds is of great significance in elucidating health-related issues at the molecular level. In this study, a human gut bacterium cleaving C-C glycosidic bond was screened from puerarin conversion to daidzein, and a new, gram-positive C-glycoside-deglycosylating strain, Dorea sp. MRG-IFC3, was isolated from human fecal sample under anaerobic conditions. Though MRG-IFC3 biotransformed isoflavone C-glycoside, it could not metabolize other C-glycosides, such as vitexin, bergenin, and aloin. As evident from the production of the corresponding aglycons from various 7-O-glucosides, MRG-IFC3 strain also showed 7-O-glycoside cleavage activity; however, flavone 3-O-glucoside icariside II was not metabolized. In addition, for mechanism study, C-glycosyl bond cleavage of puerarin by MRG-IFC3 strain was performed in D₂O GAM medium. The complete deuterium enrichment on C-8 position of daidzein was confirmed by ¹H NMR spectroscopy, and the result clearly proved for the first time that daidzein is produced from puerarin. Two possible reaction intermediates, the quinoids and 8-dehydrodaidzein anion, were proposed for the production of daidzein-8d. These results will provide the basis for the mechanism study of stable C-glycosidic bond cleavage at the molecular level.

• 한국물환경학회지
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• 제25권5호
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• pp.778-784
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• 2009

The purpose of this study is to figure out the differences of the inflow rates of Sewage Treatment Plants (STP), invested by public fund or public-private partnership (PPP). This paper finds that the average ratio of sewage inflow according to facility capacities (medium and small scale STP) was either nearly below 30% or above 100% in the first year. As the size of STP increased, there was decrease in the accuracy of demand assumption. This was because the operation time when the ratio of sewage inflow was uniform was different according to the size of STP, whereby the time was short when the STP were small. The design average ratio of sewage inflow was 10% larger than the real average ratio; this was considered overdesigned. In the case of a plant built by the PPP scheme, the average ratio of inflow of the STP before an abolition of MRG was larger than after the abolition of MRG. This may be explained by moral hazard from too much reliance on MRG. After the abolition of MRG, the demand risk of PPP was shifted from a PPP project to a conventional project.