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The evaluation of contralateral breast's dose and shielding efficiency by breast size about breast implant patient for radiation therapy (인공 유방 확대술을 받은 환자의 유방암 치료 시 크기에 따른 반대 측 유방의 피폭 선량 및 차폐 효율 평가)

  • Kim, Jong Wook;Woo, Heon;Jeong, Hyeon Hak;Kim, Kyeong Ah;Kim, Chan Yong;Yoo, Suk Hyun
    • The Journal of Korean Society for Radiation Therapy
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    • v.26 no.2
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    • pp.329-336
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    • 2014
  • Purpose : To evaluate the dose on a contralateral breast and the usefulness of shielding according to the distance between the contralateral breast and the side of the beam by breast size when patients who got breast implant receive radiation therapy. Materials and Methods : We equipped 200 cc, 300 cc, 400 cc, and 500 cc breast model on the human phantom (Rando-phantom), acquired CT images (philips 16channel, Netherlands) and established the radiation treatment plan, 180 cGy per day on the left breast (EclipseTM ver10.0.42, Varian Medical Systems, USA) by size. We set up each points, A, B, C, and D on the right(contralateral) breast model for measurement by size and by the distance from the beam and attached MOSFET at each points. The 6 MV, 10 MV and 15 MV X-ray were irradiated to the left(target) breast model and we measured exposure dose of contralateral breast model using MOSFET. Also, at the same condition, we acquired the dose value after shielding using only Pb 2 mm and bolus 3 mm under the Pb 2 mm together. Results : As the breast model is bigger from 200 cc to 500 cc, The surface of the contralateral breast is closer to the beam. As a result, from 200 cc to 500 cc, on 180 cGy basis, the measurement value of the scattered ray inclined by 3.22 ~ 4.17% at A point, 4.06 ~ 6.22% at B point, 0.4~0.5% at C point, and was under 0.4% at D point. As the X-ray energy is higher, from 6 MV to 15 MV, on 180 cGy basis, the measurement value of the scattered ray inclined by 4.06~5% at A point, 2.85~4.94% at B point, 0.74~1.65% at C point, and was under 0.4% at D point. As using Pb 2 mm for shield, scattered ray declined by average 9.74% at A and B point, 2.8% at C point, and is under 1% at D point. As using Pb 2 mm and bolus together for shield, scattered ray declined by average 9.76% at A and B point, 2.2% at C point, and is under 1% at D point. Conclusion : Commonly, in case of patients who got breast implant, there is a distance difference by breast size between the contralateral breast and the side of beam. As the distance is closer to the beam, the scattered ray inclined. At the same size of the breast, as the X-ray energy is higher, the exposure dose by scattered ray tends to incline. As a result, as low as possible energy wihtin the plan dose is good for reducing the exposure dose.

Uncertainty Assessment: Relative versus Absolute Point Dose Measurement for Patient Specific Quality Assurance in EBRT

  • Mahmood, Talat;Ibrahim, Mounir;Aqeel, Muhammad
    • Progress in Medical Physics
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    • v.28 no.3
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    • pp.111-121
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    • 2017
  • Verification of dose distribution is an essential part of ensuring the treatment planning system's (TPS) calculated dose will achieve the desired outcome in radiation therapy. Each measurement have uncertainty associated with it. It is desirable to reduce the measurement uncertainty. A best approach is to reduce the uncertainty associated with each step of the process to keep the total uncertainty under acceptable limits. Point dose patient specific quality assurance (QA) is recommended by American Association of Medical Physicists (AAPM) and European Society for Radiotherapy and Oncology (ESTRO) for all the complex radiation therapy treatment techniques. Relative and absolute point dose measurement methods are used to verify the TPS computed dose. Relative and absolute point dose measurement techniques have a number of steps to measure the point dose which includes chamber cross calibration, electrometer reading, chamber calibration coefficient, beam quality correction factor, reference conditions, influences quantities, machine stability, nominal calibration factor (for relative method) and absolute dose calibration of machine. Keeping these parameters in mind, the estimated relative percentage uncertainty associated with the absolute point dose measurement is 2.1% (k=1). On the other hand, the relative percentage uncertainty associated with the relative point dose verification method is estimated to 1.0% (k=1). To compare both point dose measurement methods, 13 head and neck (H&N) IMRT patients were selected. A point dose for each patient was measured with both methods. The average percentage difference between TPS computed dose and measured absolute relative point dose was 1.4% and 1% respectively. The results of this comparative study show that while choosing the relative or absolute point dose measurement technique, both techniques can produce similar results for H&N IMRT treatment plans. There is no statistically significant difference between both point dose verification methods based upon the t-test for comparing two means.

A Study on the Change of Waist Pattern by Upper Limb Motion (Part 2) - By the Change of Oblique Line - (상지동작에 따른 길의 변화에 관한 연구(제2보) - 사선방향의 변화를 중심으로 -)

  • Lee, Eun-Jung
    • Fashion & Textile Research Journal
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    • v.4 no.2
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    • pp.145-155
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    • 2002
  • In order to investigate how upper limb motion gives influence on clothing, this study measured tests by following standards: Front Vertical motion, Side-Vertical motion, and Horizontal motion. For this study, the procedures in the order of alphabet are applied. A. Eeach of testee's pattern was copied by the motion with a method of tight fitting technique. B. Analyzing each of the size-change on measuring item. C. Studying the moving aspects at each datum points. The results shows that the biggest change can be found in the following items. 1) In vertical motion of F4 (the length to shoulder point from A-point) 2) In horizontal motion of F5 (the length to front-width point from A-point), the check-result gained by checking the notice between motions shows that the most noticeable items are F4 (the length to shoulder point from A-point), F5 (the length to front-width point from A-point), F6 (the length to armpit point from A-point), B7 (the length to side-waist point from B-point). In result of the study of datum point's movement by motion, the items which were measured with the longest on straight-distance in vertical motion are the front and rear-shoulder, and the rear-shoulder, front-armpit in horizontal motion each. In the movement of each datum points by length, the check-result gained by checking the notice between motions shows that the most remarkable item is the front-shoulder.

A Study on Removal Efficiency and Applicability of Natural Type Road Non-point Pollutant Reduction Facilities (자연형 도로 비점오염저감시설의 저감효율 및 적용성 연구)

  • Lee, Sang Hyuk;Cho, Hye Jin;Kim, Lee Hyung
    • International Journal of Highway Engineering
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    • v.16 no.6
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    • pp.9-17
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    • 2014
  • PURPOSES : The purpose of this study is to assess removal efficiency of non-point pollutants and applicability for non-point pollutant reduction facilities by conducting the demonstration project operation. METHODS : In order to analyze removal efficiency of non-point pollutants for facilities such as a grassed swale, a small constructed wetland, a free water surface wetland, a horizontal sub-surface flow wetland, and a sand filtration, the field data including specifications of facilities, rainfall, inflow and runoff rainfall effluent etc. was acquired after occurring rainfall events, and the acquired data was analyzed for removal efficiency rate to assess road non-point pollutants facilities using event mean concentration (EMC) and summation of load (SOL) methods. RESULTS : The results of analyzing rainfall effluent, non-point pollutant sources showed that total suspended solid (TSS), chemical oxygen demand (COD), biochemical oxygen demand (BOD), total nitrogen (TN), total phosphorus (TP), chrome (Cr), zinc (Zn), and lead (Pb) can be removed through non-point pollutant reduction facilities by 60.3% ~ 100%. Especially removal efficiency of TSS, COD and BOD is relatively higher than removal efficiency of other non-point pollutant sources in all kind of non-point pollutant facilities. CONCLUSIONS : Based on the result of this study, even though natural type of non-point pollutant reduction facilities for roads occupy small areas comparing with drainage basin areas, most of non-point pollutant sources would be removed through the facilities.

A Randomized Controlled Trial to Verify Effects of Kuesu Point on Low Back Pain and Accompanied Sciatica

  • Lee, Jeong-Won;Kim, Dong-Il
    • The Journal of Korean Medicine
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    • v.28 no.4
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    • pp.86-94
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    • 2007
  • Objective : Kuesu point is a newly discovered point, it is located in 3-cun from the centre of sacrum laterally, paralleled to the 4th foramen on the sacrum. This controlled trial was to evaluate the superior effect of Kuesu point on back pain which radiated to lower extremities. Methods : Randomized Controlled Trial (RCT) and Single Blind in patient was designed. Patients (n=31) were randomized to two groups, Kuesu-point acupuncture group (Group A, n=16) and non Kuesu point acupuncture group (Group B, n=15). Group A was acupunctured on B25 (大腸兪), B26 (關元兪) and B60 (崑崙) with Kuesu point. Group B was acupunctured on the same points without Kuesu point. The clinical subjects were female patients. Beside acupuncture, the other therapies were excluded. Clinical period was three weeks total. Each group was treated 4-5 times per week for 3 weeks. The outcome measurements were The Estimation Index of Backache (quality of life), Pain Rating Scale (pain intensity) and other physical examinations (ROM, SLR, etc.). Results : 31 patients (Group A: n=16, Group B: n=15) were Randomized, 6 of them dropped out. Eventually 25 patients (Group A: n=15, Group B: n=10) were included in the analysis. Group A acupunctured on Kuesu point scored more significant Estimation Index of Backache and lower PRS (Pain Rating Scale) than Group B acupunctured without Kuesu point (p=0.003/2). It turned out that the group acupunctured on Kuesu point show meaningful high improvement index. And other examination's results showed that the treatment effects of Group A are twice as better as Group B. Conclusion : These results suggest that Kuesu point acupuncture was more effective on lower back pain and improved the life quality of patients, being compared with non Kuesu point acupuncture.

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The Literature Study on Jung point venesection therapy (정혈(井穴) 자락요법(刺絡療法)에 관(關)한 문헌고찰(文獻考察))

  • Kim, Yoon-hee;Lee, Hyun;Lee, Byung-ryul
    • Journal of Haehwa Medicine
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    • v.10 no.1
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    • pp.237-245
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    • 2001
  • I have come to next conclusions in consequnce of documentary study about medical books of many generations regarding Jung point venesection therapy. 1. Jung point is significant as the beginning of pulse energy flow on meridian, the origin of all meridional pulse energy being located at extrimity terminal, confluence of three yin and three yang, and emergent treatment point. 2. Jung point venesection therapy was much used for the first-aid treatment for acute and thermic disease, and that is the combination of the meaning as of restoration from death and emergent treatment of Jung point and function of openning of orifice, leakage of fever, circulation of blood, remove of edema of venesection therapy. 3. It is very much used for emergency case, five sensory organ disease and CVA, heating shock and so on. Besides that digestive disease, cough, fever with cold, childhood disease, cardiac ache, thoracic disease, numbness of digitus terminal, mental disorder follow that in order. 4. Sosang, Jung point of Arm Greater Yin Lung meridian, is very much used for five sensory organ disease. Sosang is for orbital disease, sangyang for auditory disease, sosang for nasal disease, and sosnag for introitus-throat disease. 5. Ten Jung point is most used for first-aid diseases of CVA, heating shock. 6. Ten Jung point is most used for digestive disease of stomach ache, vomiting, diarrhea, intestinal convulsion. 7. Ten Jung point is most used for cold disease of cough, fever, malaria. 8. Ten Jung point, sosang, kwanchung are much used for childhood disease of acute convulsion and fever. 9. Among Jung point, sosang is most used, 34 times. Next there are Ten Jung point, kwanchung, sangyang, sotaek, jungchung, unbaek, taedon in order. In the order of frequency in use, arm channel is more used than leg channel.

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Effect of Polymer Concentration and Solvent on the Phase Behavior of Poly(ethylene-co-octene) and Hydrocarbon Binary Mixture (Poly(ethylene-co-octene)과 탄화수소 2성분계 혼합물의 상거동에 대한 고분자 농도 및 용매의 영향)

  • Lee, Sang-Ho;Chung, Sung-Yun;Kim, Hyo-Jun;Park, Kyung-Gyu
    • Elastomers and Composites
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    • v.39 no.4
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    • pp.318-323
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    • 2004
  • Cloud-point and bubble-point curves for poly(ethylene-co-13.8 mol% octene) ($PEO_{13.8}$) and Poly(ethylene-co-15.3 mol% octene) ($PEO_{15.3}$) were determined up to $150^{\circ}C$ and 450 bar in hydrocarbons which have different molecular size and structure. Whereas ($PEO_{15.3}$+ n-pentane) system has cloud-point and bubble-point type transitions, ($PEO_{15.3}$+ n-propane) and ($PEO_{15.3}$+ n-butane) systems do only cloud-point type transition. In cyclo-pentane, -hexane, -heptane, and -octane, $PEO_{15.3}$ has a bubble-point transition. ($PEO_{13.8}$+ n-butane) mixture has a critical mixture concentration at 5 wt% PEO. (PEO + hydrocarbon) mixtures exhibit LCST type behavior. Solubility of PEO increases with hydrocarbon size due to increasing dispersion interaction which is favorable to dissolve PEO.