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A study on the manufacturing method and usefulness of Bolus-helmet used for malignant scalp tumor patients (악성두피종양환자에게 사용되는 보루스헬멧(Bolus-helmet)의 제작방법 및 유용성에 관한 연구)

  • Lee, joung jin;Moon, jae hee;Kim, hee sung;Kim, koon joo;Seo, jung min;Choi, jae hoon;Kim, sung gi;Jang, in gi
    • The Journal of Korean Society for Radiation Therapy
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    • v.33
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    • pp.15-24
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    • 2021
  • This study is about the introduction and usefulness evaluation of the manufacturing method of the bolus-helmet. Helmet-production for the treatment of scalp tumor patients has been tried and will continue in many creative and various ways. However, Most of the research data did not significantly reduce the psychological burden and physical and physical discomfort that the patient had to bear due to the time and economic cost required for the production of the helmet, the convenience of production, and the complexity of the process. In addition, recently, studies using more advanced technologies and equipment such as 3D-printer technology, which are being studied as a way to increase the treatment effect, are being introduced, but the time, economic cost, and psychological and physical burden are still the sole responsibility of the patient. Isn't it getting worse? The reality is that the thoughts of concern cannot be erased. Therefore, by maintaining the physical properties of the bolus and manufacturing a helmet without incurring additional costs, the physical and physical discomfort aggravated to the patient was reduced and the procedure and time for helmet manufacturing were minimized. In this way, it was possible to reduce the time, economic cost, and physical discomfort required for the production of the helmet, and it was also possible to minimize the psychological burden of the patient, although it is invisible. Additionally, in evaluating the usefulness of helmets, we are able to continuously seek and develop ways to reduce the air-gap interval, and as a result, we will be able to introduce a method to keep it within 2.0mm along with the manufacturing method through this study. I feel very welcome. Finally, I hope that anyone working in the Department of Radiation Oncology will be able to easily manufacture the helmet required for radiation therapy using a bolus through the guide-line on helmet manufacturing provided by this institute. I hope and hope that if you have any questions or inquiries that arise during the production process, please feel free to contact us through the researcher's e-mail or mobile phone at any time.

Study on dose comparison using X-Jaw split in VMAT treatment planning for left breast cancer including supraclavicular lymph nodes. (쇄골 상부 림프절을 포함하는 왼쪽 유방암의 VMAT 치료계획시 X-Jaw split을 이용한 선량비교에 관한 연구)

  • Kim, Hak Jun;Lee, Yang Hoon;Min, Jae Soon
    • The Journal of Korean Society for Radiation Therapy
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    • v.33
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    • pp.137-144
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    • 2021
  • Purpose : The usability of X-Jaw split VMAT was evaluated by comparative analysis of the dose distribution between the treatment plan divided by X-Jaw and Full field VMAT treatment plan in left breast cancer treatment including supraclavicular lymph nodes. Materials and Methods : 10 patients with left breast cancer, including supraclavicular lymph nodes, were simulated using vacuum cushion, and 2 Full field Arc VMAT and 4 X-Jaw split Arc VMAT were planned The treatment plan was designed to include more than 95% of the Planning Target Volume (PTV) and to be minimally irradiated in the surrounding Organ at risk (OAR). Dose analysis of PTV and OAR was performed through dose volume histogram (DVH). Results : The Full field VMAT treatment plan and the X-Jaw split VMAT treatment plan of 10 patients were expressed as average values and compared. The difference between the two treatment plans was not large, with a Conformity index (CI) of 1.05±0.04, 1.04±0.03, and a Homogeneity index (HI) of 1.07±0.008, 1.07±0.009. For OAR, V5 in the left lung is 56.1±6.50%, 50.4±6.30%, and V20 is 20.0±4.15%, 13.52±3.61%. Compared to Full field VMAT, V5 decreased by 10.0% V20 by 32.6% in X-Jaw split VMAT. The V30 of the heart is 3.68±1.85%, 2.23±1.52%, and the Mean dose is 8.93±1.65 Gy, 7.67±1.52 Gy. In the X-Jaw split VMAT, V30 decreased by 39.3% and the Mean dose decreased by 14.1%. The left lung and heart, which are normal tissues, were found to have a statistical significance of that p-value is less than 0.05. Conclusion : In the case of left breast cancer treatment, which includes Supraclavicular lymph nodes with a large PTV volume and a length of X Jaw of 15 cm or more, the X-Jaw split VMAT shows improved dose distribution, which can reduce radiation dose of OAR such as lungs and heart, while maintaining similar PTV coverage with HI and CI equivalent to Full field VMAT. It is thought to be effective in reducing radiation complications.

The Impact of Care Workers' Employment Characteristics and Perception of Facility Directors' Transformational Leadership on Quality of Service (요양보호사의 고용특성과 시설장에 대한 변혁적 리더십 인식이 서비스 질에 미치는 영향에 관한 연구)

  • Kim, Hye Ji;Park, Sang Hee;Kim, Bum Jung
    • 한국노년학
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    • v.41 no.2
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    • pp.217-240
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    • 2021
  • The purpose of this study is to examine the effect of care workers' employment characteristics and perception of facility directors' transformational leadership on quality of service through a hierarchical linear model. For this aim, survey data were collected amongst 240 older adults and 200 care workers who are affiliated within 45 long-term care facilities in Seoul, and analyzed using SPSS 26.0 and HLM 8.0. As a result, one's perception of transformational leadership had a positive effect, whereas, among employment characteristics, employment type and working hours had negative effects on quality of service. Regular workers with fewer working hours and higher awareness of transformational leadership toward the director provided higher quality of service. But wage, total experience and tenure didn't meaningfully affect it. Therefore, the following suggestions were presented. First, it is necessary to reorganize incentive, salary systems and budgets, changing the status of temporary workers' hourly wage system into that of regular workers' monthly one in order to strengthen employment security with acknowledging fundamental professional values through reinforcement of expertise. Reinforcement of long-term care's publicness and establishment of base facilities are also suggested. Second, maintaining appropriate hours of work and rest including annual leave under the Labor Standards Act is needed. Also, increasing the salary of and decreasing working hours for night shift workers are required. Third, education and intervention for inspiring transformational leadership of directors and strengthening qualification standards of them are required.

Clinical and Radiological Results of Treating Unstable Distal Radial Fractures with a Domestically Developed Volar Locking Plate That Has the Characteristic of Double-Tiered Subchondral Support (불안정성 원위 요골 골절의 치료에 있어 한국형 이중 연골하지지고정 전방 금속판의 임상적 및 방사선학적 결과)

  • Lee, Chul-Hyung;Jung, Deukhee;An, Chung-Han;Jeong, Uitak
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.6
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    • pp.495-502
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    • 2020
  • Purpose: The aim of this study was to assess the effectiveness of domestically developed volar locking plate which has the concept of double-tiered subchondral support (DSS) in maintaining the reduction after distal radial fracture surgery. Materials and Methods: From July 2017 to December 2018, 54 patients were assessed. Plain radiographs were obtained immediately after surgery and at the last follow-up, and the radiographic parameters were measured in those images: radial length, radial inclination, volar tilt, ulnar variance, and distal dorsal cortical distance. The patients were subdivided into their age, type of fracture, and the position of the plate to evaluate the influence of each factors on the reduction maintenance. Results: Distal dorsal cortical distance in radiographs after the surgery was 5.91 mm (standard deviation, ±1.95 mm) on average. Significant differences in the radial length (p=0.038) and ulnar variance (p=0.001) were observed between immediately after surgery and at the last follow-up. When the parameters were evaluated by dividing the patients into subgroups according to the three specific factors, the ulnar variance showed a significant increase at the last follow-up when the patients were included 65-years-old or older. AO/OTA type C3 fracture, and Soong classification grade 0 plate position (p=0.007, p=0.012, p=0.046, respectively). Conclusion: Using the domestically developed DSS-type volar locking plate, significant reduction after distal radial fracture surgery could be maintained successfully. On the other hand, further study will be needed to determine about the reduction loss of the lunate facet identified in special cases that deal with fractures in elderly patients, unstable AO/OTA type C3 distal radial fractures, and Soong classification grade 0 plate position.

Effects of Heating Initiative Temperature and CO2 Fertilizing Concentration on the Growth and Yield of Summer Squash in a Greenhouse (온실 난방 개시온도와 CO2 시비 농도가 애호박의 생육과 수량에 미치는 영향)

  • Goo, Hei Woong;Kim, Eun Ji;Na, Hae Yeong;Park, Kyoung Sub
    • Journal of Bio-Environment Control
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    • v.31 no.4
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    • pp.468-475
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    • 2022
  • This study was conducted to find out the efficiency of heating initiative temperature and carbon dioxide fertilization in summer squash (Cucurbita moschata D.). The heating start temperature experiment was performed at 9℃, 12℃, and 15℃ using an electric heater and operated when the temperature was lower than the target temperature. The CO2 fertilization concentration experiment was performed from 7 to 12 with the control, 500 µmol·mol-1, and 800 µmol·mol-1 using liquefied carbon dioxide. Investigation items were plant height, stem diameter, number of leaves, leaf area, fresh weight, dry weight, also economic analysis was conducted by surveying only fruits exceeding 100 g. Photosynthesis was measured for the upper leaf position to calculate the saturation point according to the control. The photo saturation point was 587 µmol·m-2·s-1, and the CO2 saturation point was 702 µmol·mol-1. Amax values by carbon dioxide were 13.4, 17.8, 17.2, 19.6, and 17.5 µmolCO2·m-2·s-1 in the order of 9℃, 12℃, 15℃, 500 µmol·mol-1, and 800 µmol·mol-1. In the temperature experiment, 9℃ in growth did not grow normally and no fruiting was performed. 12℃ and 15℃ were higher than 9℃, but there was no significant difference in growth and production. The CO2 fertilization experiment showed no significant difference between the treatment in growth, but the productivity of 800 µmol·mol-1 was the best. Comprehensively, the heating initiative temperature of 15℃ was good for crop growth and production, but there is no significant difference from 12℃, so it is good to set the heating start temperature to 12℃ economically, and maintaining of 800 µmol·mol-1 is effective in increasing production.

Evaluation of Growth Characteristics and Heavy Metal Absorption Capacity of Festuca ovina var. coreana in Heavy Metal-Treated Soils (중금속 처리한 토양에서 참김의털의 생육특성과 중금속 흡수능력 평가)

  • Keum Chul, Yang
    • Ecology and Resilient Infrastructure
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    • v.9 no.4
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    • pp.259-268
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    • 2022
  • In this study, seeds of Festuca ovina var. coreana growing in waste coal landfills exposed to heavy metal contamination for a long time were collected, and growth characteristics and heavy metal accumulation capacity were evaluated through greenhouse cultivation experiments with germinated seedlings, and was conducted for the applicability of phytoremediation technology. Concentration gradients of arsenic-treated artificial soil were 25, 62.5, 125, and 250 mg/kg, respectively, lead concentrations were 200, 500, 1000, and 2000 mg/kg, and cadmium concentrations were 15, 30, 60, and 100 mg/kg, respectively In the arsenic, lead, and cadmium-treated experimental groups, the number of leaves of F. ovina var. coreana decreased in all compared to the control group except for the lead-treated groups (200, 500, and 1000 mg/kg). Length growth of the shoot part was increased in all of the arsenic treatment groups compared to the control group, but decreased in all of the root parts. In the 1000 and 2000 mg/kg lead treatment groups, lengths increased compared to the control group, but in the other treatments, they were shorter than the control group. In the case of the cadmium treatment group, all of the shoot parts were increased compared to the control group, and all of the root parts were decreased. In the case of arsenic treatment, the biomass was decreased at all parts and all concentrations compared to the control group. The 200, 500, and 1000 mg/kg lead treatments showed larger biomass than the control group in both shoot and root parts. In the cadmium treatment group, the biomass of both shoot and root parts decreased compared to the control group. As the concentration of heavy metal treatment increased, both the number of leaves and the biomass by plant parts tended to decrease, and the length growth of the shoot part tended to increase slightly, but the root part tended to decrease slightly. The arsenic accumulation concentrations of the shoot and root parts of the 62.5 mg/kg arsenic treatment area were 9.4 mg/kg and 253.3 mg/kg, respectively. While the shoot part of the 250 mg/kg arsenic treatment area withered away, the arsenic accumulation concentration in the root part was analyzed to be 859.1 mg/kg, In the 2,000 mg/kg lead treatment area, the shoot and root parts accumulated 10,308.1 and 11,012.0 mg/kg, which were 1.1 times higher than the root parts. At 100 mg/kg cadmium treatment, the shoot and root parts were 176.0 and 287.2 mg/kg, and the root part accumulated 1.6 times higher than the shoot part. As a result of tolerance evaluation of F. ovina var. coreana, multi-tolerance to three heavy metals was confirmed by maintaining growth without dying in all treatment groups of arsenic, lead, and cadmium. Plant extraction (phytoextraction) of F. ovina var. coreana was verified as a species that can be applied up to 2,000 mg/kg of soil lead contamination.

Application of Plant Flavonoids as Natural Antioxidants in Poultry Production (가금 생산에서 천연 항산화제로서 식물성 Flavonoids의적용)

  • Kang-Min, Seomoon;In-Surk, Jang
    • Korean Journal of Poultry Science
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    • v.49 no.4
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    • pp.211-220
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    • 2022
  • Poultry are exposed to extremely high levels of oxidative stress as a consequence of the excessive production of reactive oxygen species (ROS) induced by endogenous and exogenous stressors, such as high-stocking densities, thermal stress, environmental and feed contamination, along with factors associated with intensive breeding systems. Oxidative stress promotes lipid peroxidation, DNA damage, and inflammation, which can have detrimental effects on the health of birds. During the course of evolution, birds have developed antioxidant defense mechanisms that contribute to maintaining homeostasis when exposed to endogenous and exogenous stressors. The primary antioxidant defense systems are enzymatic and non-enzymatic in nature and play roles in protecting cells from ROS attack. Recently, plant flavonoids, which have been established to reduce oxidative stress, have been attracting considerable attention as potential feed additives. Flavonoids are a group of polyphenolic compounds that can be stabilized by binding structural compounds with ROS, and can promote the elimination of ROS by inducing the expression of antioxidant enzymes. However, although flavonoids can contribute to reducing lipid peroxidation and thereby enhance the antioxidant capacity of birds, they have low solubility in the gastrointestinal tract, and consequently, it is necessary to develop a delivery technology that can facilitate the effect intestinal absorption of these compounds. Furthermore, it is important to determine the dietary levels of flavonoids by assessing the exact antioxidant effects in the gastrointestinal tract wherein the concentrations of dietary flavonoids are highest. It is also necessary to examine the expression of transcriptional factors and vitagenes associated with the efficient antioxidant effects induced by flavonoids. It is anticipated that the application of flavonoids as natural antioxidants will become a particularly important field in the poultry industry.

Quality Changes as Affected by Storage Temperature and Polyamide Film Packaging in Paprika (Capsicum annuum L.) (파프리카 저장 온도 변화와 폴리아미드 필름 포장 적용에 따른 품질 변화)

  • Erdene, Byambaa Bayar;Lee, Jung-Soo;Park, Me Hea;Choi, Ji Won;Eum, Hyang Lan;Malka, Siva Kumar;Yun, Yeoeun;Kim, Chae-Hee;Kim, Ho Cheol;Lee, Jinwook;Park, Ki Young;Bae, Jong Hyang;Lee, YounSuk;Jeong, Cheon Soon;Park, Jong-Suk
    • KOREAN JOURNAL OF PACKAGING SCIENCE & TECHNOLOGY
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    • v.28 no.2
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    • pp.115-125
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    • 2022
  • The purpose of this study was to examine the effect of packaging on quality maintenance of paprika (Capsicum annuum L. cv. Nagano RZ) stored at three different temperatures. In Korea, paprika is stored and distributed under ambient conditions. To ensure the freshness maintenance, determining optimal storage temperature is necessary. Paprika were unpacked (control) or packed with polyamide film and stored at 5℃, 10℃ and 20℃ for 35 days. Quality characteristics such as weight loss and appearance were examined. Paprika packed with polyamide film showed less quality changes compared to unpacked paprika under all the storage temperatures. The commercial properties tended to decrease rapidly during storage at 20℃ regardless of packing. The degree of weight loss was significantly lower in packed paprika compared to unpacked paprika. It was found that soluble solids, pigments, hardness, etc. were complexly affected by storage temperature and film packaging. For paprika, the storage temperature of 5℃ or 10℃ was effective in maintaining freshness; paprika packed in polyamide film packing maintained greater freshness than unpacked paprika. Our results showed that, packaging is required to preserve the freshness and to improve the marketability of paprika in the domestic market. It seems that it is necessary to continuously search for an effective packaging method.

Germination Responses to Mixtures Seeding Rate and Sowing Method of Kentucky Bluegrass and White Clover (캔터키블루그래스와 토끼풀의 파종방법 및 혼파비율에 따른 종자발아 반응)

  • Park, Sun-Yeong;Lee, Sun-Yeong;Yoon, Yong-Han;Ju, Jin-Hee
    • Korean Journal of Organic Agriculture
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    • v.29 no.4
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    • pp.601-612
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    • 2021
  • This study was conducted to evaluate the appropriate sowing method and mixture seeding rate on germination of Kentucky bluegrass (Poa pratensis L.) and white clover (Trifolium repens L.). The experimental design includes two sowing methods and six mixed seeding per each method: BT1:BP0 (broadcast seeding; B, Trifolium repens; T, Poa pratensis; P), BT1:BP2, BT1:BP3, BT3:BT1, BT2:BP1, BT0:BP1 and ST1:SP0 (spot seeding; S), ST1:SP2, ST1:SP3, ST3:ST1, ST2:SP1, ST0:SP1. The germination was the highest for both species when the seeding rate was higher than other species. In overall, the germination of white clover was higher and faster than Kentucky bluegrass. Two plots, BT2:BP1, ST1:ST2, were retained the balanced proportion of the germination rate. Therefore, It was suggested, for maintaining the balanced field, it is better to seed white clover twice Kentucky bluegrass on broadcast seeding and Kentucky bluegrass twice white clover on spot seeding. In regard of sowing method, broadcast seeding is better than spot seeding in terms of increasing the germination. It is necessary to supplement the result for real application by long-term monitoring.

Mediating Effect of Customer Orientation and Customer Satisfaction Between Entrepreneurship and Financial Performance: Focusing on the Beauty Service Industry (기업가정신과 재무적 성과 간의 고객지향성, 고객만족의 매개효과: 미용 서비스산업 중심으로)

  • Kwak, jinman;Lee, sehee
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.16 no.6
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    • pp.197-211
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    • 2021
  • In the service industry the types are diversifying and the scale of service companies is greatly improving. Such a phenomenon is caused by economic growth and technological development diversifying consumer needs creating demand for new services maturing the service industry and intensifying competition among companies in the form of global competition. It can be said that this is because it is necessary to improve competitiveness by utilizing the economy of scale. Research is needed on the impact of entrepreneurship on various outcome variables in order for service organization managers to respond quickly to diverse and rapidly changing environments and achieve organizational outcomes and corporate goals of management outcomes. The purpose of this study was to empirically analyze the relationship in which the entrepreneurial spirit of a manager influences the relationship between customer orientation, which is an organizational result, customer satisfaction, and financial result, which is a management result. In order to verify such research, the questionnaire was composed of one business owner questionnaire, two employee questionnaires, and two customer questionnaires. The questionnaire was distributed to a total of 400 companies, and the questionnaires of 340 companies were collected. Of these, 303 companies, excluding the questionnaires of 37 companies with many dishonest or missing values, were used for hypothesis testing. The results of this study can be summarized as follows. First, entrepreneurship had a positive (+) effect on customer orientation, supporting the hypothesis. Second, customer orientation showed a positive (+) effect on customer satisfaction, supporting the hypothesis. Third, customer satisfaction showed a positive (+) effect on financial outcomes, supporting the hypothesis. Fourth, it was found that entrepreneurship influences customer satisfaction through customer orientation, and customer satisfaction affects financial outcomes. It turns out that customer orientation between entrepreneurship and customer satisfaction is completely mediated, and customer satisfaction is completely mediated by customer orientation and financial outcomes. The relationship between entrepreneurship and management improved employee behavior and attitudes, which is an individual outcome, and this change was found to improve customer satisfaction, which is an organizational outcome. It makes frequent contact with customers in the process of servicing them. Employee roles are important at service contacts and influence service purchases. Employees facing customers through service contacts act as a decisive factor in maintaining a continuous relationship with customers. Within a beauty service company, it is necessary to create a customer-oriented environment among workers. It suggests that customer-oriented companies and employees can anticipate their desires and provide products or services of superior value to achieve greater customer satisfaction and a competitive advantage. In addition, it was clarified that customer satisfaction has an aspect relationship with financial management, which is a management result. Therefore, it is suggested that the entrepreneurial spirit is an important factor for the management of a beauty service company to secure competitiveness and improve results.