• 제목/요약/키워드: Radiation dosage

검색결과 170건 처리시간 0.028초

대장암 항암 화학요법의 처방 오류 평가 및 개선안 제시 (Guideline of Improvement and Evaluation of Prescribing Errors in Colorectal Chemotherapy)

  • 임현수;임성실
    • 한국임상약학회지
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    • 제23권2호
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    • pp.158-166
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    • 2013
  • Background: Colorectal cancer shows a significant increase in South Korea due to westernization of diet, lack of dietary fiber, drinking and smoking, irregular defecation. There are surgery, chemotherapy, radiation therapy in treatment of colorectal cancer. There may be a medication errors in the process of chemotherapy because of its high toxicity, narrow therapeutic index and the health status of cancer patients. Consequently medication errors can cause increasing the risk of death, prolonging hospital stay and increasing the cost. Among medication errors on medication use process, prescribing errors are of particular concern due to higher risk of serious consequences. It is important for pharmacist to prevent the prescribing errors before reaching patient. Therefore we analyzed the prescriptions of colorectal cancer, classified prescribing errors, suggested guideline to reduce prescribing errors and verified the importance of pharmacist's role in prevention of medication errors activity. Methods: We collected the numbers of prescriptions of colorectal cancer(n=2,373) through anti cancer management program and EMR and analyzed the errors of prescriptions by categories from Oct 1st 2011 to Sep 30th 2012 at Chungbuk National University Hospital. We reviewed the prescriptions as follows - patients' characteristics, the result of test, previous prescriptions, characteristics of antineoplastic agents and patients' allergy, drug sensitivity, adverse events. Prescriptions are classified into inpatient and outpatient and analyzed the errors of prescriptions by categories (dosage form, dose, input, diluents, regimen, product). Results: Total prescription number of inpatient and outpatient of colorectal cancer was 1,193 and 1,180 and that of errors was 107(9%) and 22(1.9%), respectively. In case of errors of categories, the number of errors of dosage form is 69 and 8, errors of dose is 15 and 5, errors of input is 9 and 9 in inpatient and outpatient prescriptions, respectively. Errors of diluents is 8, errors of regimen is 3, errors of product is 3 in only inpatient prescriptions. In case of errors of categories by inpatient department, the number of errors of dosage form is 34 and 35, errors of dose is 7 and 8, errors of input is 6 and 3, errors of diluents is 4 and 4, errors of regimen is 2 and 1, errors of product is 2 and 1 in SG and HO, respectively. In case of outpatient department, the number of errors of dosage form is 8 in HO, errors of dose is 5 in HO, errors of input is 5 and 4 in SG and HO, respectively. Conclusions: The rate of errors of inpatient is higher than that of outpatient. Junior doctors are engaged in prescriptions of inpatient and pharmacist need to pay attention to review all prescriptions. If prescribing errors are discovered, pharmacist should contact the prescriber and correct the errors without delay. The guideline to reduce prescribing errors might be upgrading software of anti cancer management program, education for physicians as well as pharmacists and calling prescriber's attention to preventing recurrence of errors.

방사선 유도 학습기억 장애에 대한 diethyldithiocarbamate의 효과 (Effect of Diethyldithiocarbamate on Radiation-induced Learning and Memory Impairment in Mouse)

  • 장종식;김종춘;문창종;정우희;조성기;김성호
    • Journal of Radiation Protection and Research
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    • 제37권3호
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    • pp.123-128
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    • 2012
  • 방사선 노출은 해마 기능이상으로 인한 인지장애와 기억력 감퇴가 나타난다. 본 연구에서는 마우스에 방사선 노출(감마선 0.5 또는 2 Gy) 후 passive avoidance 및 object recognition test를 적용한 행동이상, apoptosis 측정 및 신경발생 관찰지표로서 Kiel 67 (Ki-67) 및 doublecortin (DCX)에 대한 면역염색 방법을 적용하여 diethyldithiocarbamate(DDC)의 학습기억 장애 경감효과를 관찰하였다. DDC는 방사선 조사 30분 전에 1회(체중 kg당 1,000 mg) 복강 내 주사하였다. Passive avoidance 및 object recognition test 결과, 정상대조군에 비해 방사선 단독조사군(2 Gy)에서 유의성 있는 학습기억 장애를 나타냈으며, 방사선 조사 후 12시간에 치아이랑 부위의 apoptosis 발생세포의 수가 증가하였고, Ki-67 및 DCX 양성세포의 수는 현저히 감소하였다. 방사선 노출 전 DDC 처리군에서는 유의성 있는 행동장애 완화, apoptosis 발생 감소가 관찰되었고, 평균치를 기준으로 Ki-67 및 DCX 양성세포의 수도 약간 증가하였다. DDC는 성숙마우스에서 방사선에 의한 해마 신경세포발생 및 학습기억 장애 개선효과가 있는 것으로 사료된다.

PET/CT 검사에서 선량변화와 QAC기법 적용 시 Metal Artifact 유무에 따른 SUV 비교분석 (A Comparative Analysis According to a Presence or Absence of Metal Artifacts when a Dose Change and QAC Technique are Applied in PET/CT Tests)

  • 윤선희;김양중;강영직;박수영;김호신;류형기
    • 핵의학기술
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    • 제19권1호
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    • pp.51-56
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    • 2015
  • Purpose As medical radiation exposures on patients are being social issues an interest in a relief of radiation exposures on patients is increasing. Further, there are many cases where some patients among who are getting PET/CT tests choose to get implanted with metal artifacts in their bodies. This study is to find out effects of presence or absence of metal artifacts when dose change or CT attenuation correction for the relief of radiation exposures are applied using phantoms through changes in standard uptake value (SUV). Materials and Methods GE company's Discovery 710 machine was used for PET/CT test equipments. We used NEMA IEC body phantoms. We also used screw and mesh cage made of titanium which are used in real clinical processes for the metal artifacts. Two experiments were conducted: One is to test and measure repeatedly about SUV about differences in CT attenuation corrections according to dose changes and another is to do the same procedure for SUV about the presence and absence of the metal artifacts. We injected $^{18}F-FDG$ into NEMA IEC body phantoms with a TBR ratio of 4:1 and then put the metal material into the transformation phantoms. Once a scanning for the metal artifacts was done we eliminated the metal artifacts and went on non-metal artifacts. For the each two experiments, we scanned repeatedly with CT kVp (140, 120, 100, 80) and mA (120, 80, 40, 20, 10) for an experimental condition. For PET, we reconstructed each with standard AC (STD) technique and quantitation achieved cnsistently QAC) technique among CT attenuation correction methods. We conducted a comparative analysis on measured average values and variations which were measured through repeated measure of SUV of region 1, 2, 3 spheres for each conditions of non-metal /metal scan. Results For each kVp, 120, 80, 40 (mA) of non/metal (screw, mesh cage) showed low frequency of fluctuation rates of above 2%. In 20, 10 mA above 2% of fluctuation rates appeared in high frequency. Also, when we compared the fluctuation rates of STD and QAC techniques in non/metal (screw, mesh cage) tests QAC technique showed about 1-10% of differences for each conditions compared to STD technique. In addition, metal types did not have significant effects on fluctuation rates. Conclusion We confirmed that SUV fluctuation rates for both STD and QAC techniques increase as dosage is lower. We also found that the SUV of PET data was maintained steadily in a low dosage for QAC technique when compared with STD technique. Hence, when the low dosage is used for the relief of radiation exposures on patients QAC technique may be exploited helpfully and this could be applied in the same way for patients with metal artifacts implanted in their bodies.

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전리방사선 및 자외선의 미생물 돌연변이와 DNA 손상에 대한 영향 (Effects of ionizing and ultraviolet radiation on microbial mutation and DNA damage)

  • 남지현;신지혜;이정윤;이동훈
    • 미생물학회지
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    • 제53권1호
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    • pp.20-28
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    • 2017
  • 감마선, 전자빔 등과 같은 전리방사선과 자외선을 이용하는 물리적 멸균방법은 살균 효과와 경제성이 우수하므로 다양한 산업분야에서 사용되고 있으나, 미생물의 돌연변이를 유발하는 요인으로 작용할 수 있다. 본 연구에서는 전리방사선 및 자외선의 유전학적 안전성을 평가하기 위해서 Salmonella enterica와 Escherichia coli 균주에 자외선, 감마선, 전자빔을 조사한 후에 생존율, 돌연변이율, DNA 손상 효과를 조사하였다. 자외선, 감마선, 전자빔의 조사선량이 증가함에 따라 시험 균주의 생존율이 모두 급격히 감소하였으며, 90% 이상이 사멸되는 조사선량은 각각 $0.40{\sim}25.06mJ/cm^3$, 0.11~0.22 kGy, 0.14~0.53 kGy 이었다. SOS/umu-test에서는 자외선, 감마선, 전자빔에 노출된 모든 시료에서 DNA 손상을 유발하는 유전독성이 확인되었다. Ames test에서는 자외선과 감마선에 노출된 후에 복귀 돌연변이율이 각각 $3.82{\times}10^{-4}$, $9.84{\times}10^{-6}$까지 증가하였다. S. enterica TA100의 사멸율이 99.99% 이상 되는 선량의 자외선, 감마선, 전자빔에서의 복귀 돌연변이율은 각각 자연돌연변이율 대비 347배, 220배, 0.6배 증가하였다. E. coli CSH100 균주를 자외선, 감마선, 전자빔에 노출시킨뒤에 조사한 리팜피신내성 돌연변이율은 각각 $2.46{\times}10^{-6}$, $1.66{\times}10^{-6}$, $4.12{\times}10^{-7}$ 이었다. 따라서 사멸효과의 관점에서는 감마선 처리가 미생물 제어에 효과적이라 할 수 있으며, 전자빔은 DNA 손상과 세균돌연변이를 적게 유발하며 사멸효과를 얻는 장점이 있다고 생각된다.

감마선(線) 조사(照射)에 의한 Pork Sausage의 저장(貯藏)에 관(關)한 연구(硏究) - 제(第) 2 보(報) 방부제(防腐劑)의 방부효과에 미치는 감마선(線) 조사(照射)의 영향(影響) - (Studies on the Preservation of Pork Sausage by Gamma Radiation - Part 2. Influence of Gamma Radiation on the Preservative Effects of 2-(2-Furyl)-3-(5-Nitro-2-Furyl)-Acrylamide and Potassium Sorbate for Pork Sausage -)

  • 김연진;공운영;권중철
    • 한국식품과학회지
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    • 제5권1호
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    • pp.49-54
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    • 1973
  • 방부제(防腐劑)와 감마선(線)을 병용(倂用)한 pork sausage 의 저장효과를 방부제(防腐劑) 잔존량적(殘存量的) 면(面)에서 비교 검토하기 위하여 저장 중 방부제잔존량(防腐劑殘存量)과 세균수(細菌數) 및 pH 를 저장온도별로 조사(調査)하여 다음과 같은 결론을 얻었다. 1) 조사(照射)직후 방부제(防腐劑) 잔존량(殘存量)은 조사선량(照射線量)에 비례하여 감소를 하였으며, AF-2에 비하여 K-SOA가 예민한 감수성(感受性)을 나타내었다(P<0.01). 2) 저장중 방부제(防腐劑) 잔존량(殘存量)은 선량(線量)의 증가와 저온저장(低溫貯藏)에서 잔존율(殘存率)이 높았으며 K-SOA 보다는 AF-2의 감소율이 적었다. 3) 세균수(細菌數)의 증가는 방부제(防腐劑)의 잔존율(殘存率)과 고도(高度)의 유의성(有意性)을 보여(P<0.01) 선량(線量)의 증가, 저온저장(低溫貯藏) 및 AF-2가 세균증식억제(細菌增殖抑制)에 주요(主要)한 역할을 했음이 인정되었다. 4) 방부제(防腐劑) 잔존량(殘存量)과 세균수(細菌數) 및 관능검사결과(官能檢査結果)와의 관계에서 0.50 Mrad 조사구(照射區)가 방부제(防腐劑) 잔존량(殘存量)이나 저장성(貯藏性)에서 가장 우월하였고 조사취(照射臭) 및 산패취(酸敗臭)를 전연 생성하지 않았으므로 적정선량(適正線量)으로 하였다. 5) 소세지 표면(表面)의 heme 계색소(系色素)에 대한 감마선(線) 조사(照射)의 영향은 거의 인정할 수 없었다.

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Myocardial Coverage and Radiation Dose in Dynamic Myocardial Perfusion Imaging Using Third-Generation Dual-Source CT

  • Masafumi Takafuji;Kakuya Kitagawa;Masaki Ishida;Yoshitaka Goto;Satoshi Nakamura;Naoki Nagasawa;Hajime Sakuma
    • Korean Journal of Radiology
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    • 제21권1호
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    • pp.58-67
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    • 2020
  • Objective: Third-generation dual-source computed tomography (3rd-DSCT) allows dynamic myocardial CT perfusion imaging (dynamic CTP) with a 10.5-cm z-axis coverage. Although the increased radiation exposure associated with the 50% wider scan range compared to second-generation DSCT (2nd-DSCT) may be suppressed by using a tube voltage of 70 kV, it remains unclear whether image quality and the ability to quantify myocardial blood flow (MBF) can be maintained under these conditions. This study aimed to compare the image quality, estimated MBF, and radiation dose of dynamic CTP between 2ndDSCT and 3rd-DSCT and to evaluate whether a 10.5-cm coverage is suitable for dynamic CTP. Materials and Methods: We retrospectively analyzed 107 patients who underwent dynamic CTP using 2nd-DSCT at 80 kV (n = 54) or 3rd-DSCT at 70 kV (n = 53). Image quality, estimated MBF, radiation dose, and coverage of left ventricular (LV) myocardium were compared. Results: No significant differences were observed between 3rd-DSCT and 2nd-DSCT in contrast-to-noise ratio (37.4 ± 11.4 vs. 35.5 ± 11.2, p = 0.396). Effective radiation dose was lower with 3rd-DSCT (3.97 ± 0.92 mSv with a conversion factor of 0.017 mSv/mGy∙cm) compared to 2nd-DSCT (5.49 ± 1.36 mSv, p < 0.001). Incomplete coverage was more frequent with 2nd-DSCT than with 3rd-DSCT (1.9% [1/53] vs. 56% [30/54], p < 0.001). In propensity score-matched cohorts, MBF was comparable between 3rd-DSCT and 2nd-DSCT in non-ischemic (146.2 ± 26.5 vs. 157.5 ± 34.9 mL/min/100 g, p = 0.137) as well as ischemic myocardium (92.7 ± 21.1 vs. 90.9 ± 29.7 mL/min/100 g, p = 0.876). Conclusion: The radiation increase inherent to the widened z-axis coverage in 3rd-DSCT can be balanced by using a tube voltage of 70 kV without compromising image quality or MBF quantification. In dynamic CTP, a z-axis coverage of 10.5 cm is sufficient to achieve complete coverage of the LV myocardium in most patients.

위내체류를 목적으로 한 알부민 가교 PVP 하이드로겔의 팽윤특성 (Albumin-Crosslinked PVP Hydrogel as a Gastric Retention Platform)

  • 심창구;여소현
    • Journal of Pharmaceutical Investigation
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    • 제23권3호
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    • pp.145-153
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    • 1993
  • Retaining a drug in the stomach by some means is sometimes necessary to extend the G1 absorption time of the drug more than 6-8 hrs. Hydrogel has often been examined for its feasibility as a dosage form, so called platform, that could be retained in the stomach due to its excellent swelling properties in the gastric fluid. In this study, polyvinylpyrrolidone (PVP) hydrogel crosslinked by albumin or acrylated albumin was synthesized in a tablet form and evaluated for its possibility as the platform. The synthesis of the hydrogel was performed by $^{60}Co\;{\gamma}-ray$ irradiation of N-vinyl-2-pyrrolidone (monomer) in the presence of a crosslinking agent: aqueous solution of albumin or acrylated albumin. Synthetic conditions such as radiation dose, dose rate and concentration of crosslinking agent were varied in order to optimize the swelling and mechanical properties of the hydrogels. Degree of swelling of albumin-crosslinked PVP (Al-PVP) was highly dependent on radiation dose, dose rate and albumin concentration: it was decreased as they increased. On the other hand, that of acrylated albumin-crosslinked PVP (Acryl-PVP) was almost independent on them except dose rate: it was decreased as the radiation dose rate increased. The compressive strength of the two hydrogels was decreased as the dose rate increased. Digestion of both PVP in artificial gastric fluid containing pepsin was delayed by the ${\gamma}-ray$ irradiation. In conclusion, Al-PVP and Acry-PVP with diverse swelling and mechanical properties could be obtained by controlling synthetic conditions, mainly the irradiation dose rate.

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Photosynthetic Response and Protective Regulation To Ultraviolet-B Radiation In Green Pepper (Capsicum annuum L.)Leaves

  • Kim, Dae-Whan;Jun, Sung-Soo;Hong, Young-Nam
    • Journal of Photoscience
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    • 제8권1호
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    • pp.1-7
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    • 2001
  • The deteriorative effect of ultraviolet-B(UV-B) radiation on photosynthesis was assessed by the simultaneous measurement of O$_2$ evolution and chlorophyll(Chl) fluorescence in green pepper. UV-B was given at the intensity of 1 W$.$m$\^$-2/, a dosage often encountered in urban area of Seoul in Korea, to detached leaves. Both Pmax and quantum yield of O$_2$ evolution was rapidly decreased, in a parallel phase, with increasing time of UV-B treatment. Chl fluorescence parameters were also significantly affected. Fo was increased while both Fm and Fv were decreased. Photochemical efficiency of PSII(Fv/Fm) was also declined, although to a lesser extent than Pmax. Both qP and NPQ were decreased similarly with increasing time of UV-B treatment. However, PS I remained stable. The addition of lincomycin prior to UV-B treatment accelerated the decline in Fv/Fm to some extent, suggesting that D1 protein turnover may play a role in overcoming the harmful effect of UV-B. The amount of photosynthetic pigments was less affected than photosynthetic response in showing decline in Chl a and carotenoids after 24 h-treatment. Presumptive flavonoid contents, measured by changes in absorbance at 270 nm , 300 nm and 330nm, were all increased by roughly 50% after 8 h-treatment. Among antioxidant enzymes, activities of catalase and peroxidase were steadily increased until 12h of UV-B treatment whereas ascorbate perxidase, dehydroascorvate reductase and glutathione reductase did not show any significant change. The results indicate that deteriorative effect of UV-B on photosynthesis precedes the protection exerted by pigment synthesis and antioxidant enzymes.

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고관절전치환 성형술 후 관절주위 골형성 예방을 위한 수술 후 방사선 요법 (Postoperative Irradiation for Prevention of Heterotopic Bone Formation after Total Hip Replacement Arthroplasty)

  • 박우윤;김일한;하성환;박찬일
    • Radiation Oncology Journal
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    • 제4권1호
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    • pp.75-80
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    • 1986
  • 관절주위 골형성은 고관절치환 성형술을 시행받은 환자의 $0.6\~61.7\%$에서 생친 수 있는 합병증이다. 저자들은 1981년 1월부터 1985년 5월까지 서울대학교병원 치료방사선과에서 고관절전치환 성형술 후 관절주위 골형성 예방을 위하여 방사선요법을 시행받은 4명의 환자(8개의 고관절)를 분석하였다. 방사선요법은 수술후 $6\~10$일이내 시작하였으며 2,000cGy를 10회 분할 조사하였다. Modified Brooker system에 의하여 7계의 고관절에서는 Grade(1개 의고관절에서는 Grade) 2의 결과를 얻었다. 저자들의 이번 연구결과 및 문헌조사에 의하면 고관절 성형술 후 관절주위 골형성 예방을 위하여 호발군에 있어서의 방사선요법은 효과적이라고 하겠다.

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Uses of cone-beam computed tomography in San José, Costa Rica

  • Barba, Lucia;Berrocal, Ana Luisa;Hidalgo, Alejandro
    • Imaging Science in Dentistry
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    • 제48권2호
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    • pp.103-109
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    • 2018
  • Purpose: To analyze cone-beam computed tomography (CBCT) use, indications, and exposure parameters in San $Jos{\acute{e}}$, Costa Rica. Materials and Methods: A cross-sectional study was performed. All CBCT examinations over a period of 6 months at 2 radiological centers in San $Jos{\acute{e}}$, Costa Rica were evaluated. The examinations were performed with Veraview EPOC X550 and Veraviewepocs 3D R100 equipment. The patients' age and sex, clinical indication for CBCT, region of interest (ROI), repeat examinations, specialty of the referring dentist, field-of-view (FOV), tube voltage (kV), tube current (mA), and radiation dose (${\mu}Gy$) were evaluated. Patients were classified by age as children (${\leq}12years$), adolescents(13-18 years), and adults(${\geq}19years$). Results: The mean age of the 526 patients was 49.4 years. The main indications were implant dentistry and dental trauma. The most frequent ROIs were posterior, while anterior ROIs were much less common. The highest percentage of repeat examinations was in children. Fifty-six percent of the referring dentists were specialists. The most commonly used FOV was small. The mean tube voltage and current were 79.8 kV and 7.4 mA for Veraview EPOC X550 and 89.9 kV and 6 mA for Veraviewepocs 3D R100, respectively. The mean doses for children, adolescents, and adults were $6.9{\mu}Gy$, $8.4{\mu}Gy$, and $7.8{\mu}Gy$, respectively. Conclusion: Although CBCT was most commonly used in adults for implant dentistry, most repeat examinations were in children, and the highest mean dose was in adolescents. Additional dose optimization efforts should be made by introducing low-dose protocols for children and adolescents.