• Nuclear Medicine and Molecular Imaging
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• 제42권6호
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• pp.464-468
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• 2008

목적 : I-131 치료를 받는 분화갑상선압 환자에서 I-131의 유효반감기($T_{eff}$)는 투여량의 계산이나 격리치료의 기간을 결정하기 위해서는 알아야 할 값 중 하나이다. 그러나 $T_{eff}$를 계산하려면 자주 선량을 측정해야 하기 때문에 측정하는 사람의 방사선노출이 문제가 된다. 이런 이유로 아직 한국인에서 $T_{eff}$값은 찾기 어렵다. 측정하는 사람에 대한 방사선 노출 없이 연속적으로 선량 변화를 측정하고, 이로부터 $T_{eff}$와 48시간 체내잔류량, 1.1 GBq이하가 될 때까지의 시간을 계산하고자 하였다. 방법: 방사선 선량계의 탐침은 격리치료실 안의 벽에 고정하고, 선량계는 밖에서 읽도록 하는 간단한 방법을 사용하였다. 2006년 1월부터 12월까지 I-131 치료($3.7{\sim}7.4\;GBq$)를 받은 분화갑상선 환자 68명(여=55, 남=13, 연령=$47{\pm}13.7$)에서 격리치료실 입원 중 선량변화를 측정하였다. 이 값을 가지고 개인용 컴퓨터의 스프레드시트 프로그램을 사용하여 $T_{eff}$를 계산하였다. 모든 환자에서 혈중 크레아티닌 농도를 측정하였다. 결과: $T_{eff}$는 $15.4{\pm}4.3$ ($9.4{\sim}32.5$)시간이었다. $T_{eff}$는 혈중 크레아티닌이 증가할수록 길어지는 경향은 있었으나, 상관계수는 높지 않았다(r=0.45). 48시간 후 남은 양은 $4.9{\pm}4.2$ ($1{\sim}23$)%였다. 전신에 남은 양이 1.1GBq 이하가 될 때까지의 시간은, 9.25GBq를 투여한다고 가정했을 때에는 $47.1{\pm}13.2$시간, 7.4 GBq일 때 $42.1{\pm}11.9$시간, 5.55 GBq일 때 $35.7{\pm}10$시간, 3.7 GBq일 때 $26.7{\pm}7.5$시간으로 계산되었다. 결론: 선량계의 탐침과 몸체를 분리하는 간단한 방법으로 측정하는 사람의 방사선노출이 없이 격리치료실에 입원한 환자의 선량변화를 연속적으로 측정할 수 있었고, 유도된 곡선으로부터 $T_{eff}$를 계산했다. 이 값을 이용하여 48시간 체내잔류량과 투여한 양이 1.1 GBq 이하가 될 때까지의 시간을 계산하였다.

• 한국의료질향상학회지
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• 제22권2호
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• pp.75-90
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• 2016

Objectives: This study measures the level of cognition of employee's patient safety culture and evaluates the current level through comparing the results to external levels. Ultimately it is performed to construct a strategic improvement plan through the basic database for patient's safety culture. Methods: A questionnaire survey of self reporting type was carried out using structured questionnaire of the patient's safety culture for employees currently employed in a hospital. Total responders was 1,129 and a response rate was 54.6%. The survey results were calculated with a percent positive response, and the current level was evaluated by comparing with the survey results of a hospital (2009 and 2014) and the survey result of The Agency for Healthcare Research and Quality(2014). Results: Sub-dimension of high percent positive response for each area were 'teamwork within hospital units' (80%), 'feedback & communication about error' (73%) and 'supervisor/manager expectations & actions promoting safety' (67%). Meanwhile, 'teamwork across hospital units' (31%), 'hospital management support for patient safety' (29%), 'staffing' (27%) and 'non-punitive response to error' (17%) were relatively low percent positive response. Compared to the survey results of AHRQ (2014) for each area, 'teamwork within hospital units' (80%), 'feedback & communication about error' (73%), 'frequency of event reporting' (66%) were at the top 50% percentile level and the remaining sub-dimensions showed a very low level in the lower 10% percentile area. Conclusion: In order to establish a system for patient safety culture within the hospital and evaluate the effect on this, it is necessary to periodically evaluate the patient's safety culture and establish regulations on hospital safety culture to comply with this.

• 대한간호학회지
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• 제24권4호
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• pp.652-665
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• 1994

This study was done to investigate the changes in the quality of life(QOL) of patients who received radiation therapy after surgery for breast cancer. For this purpose, 35 patients were interviewed using a questionnaire. They were followed over 8 month period from the beginning of radiation therapy. Changes in the QOL, side effect of the RT(radiation therapy), depression were measured. The results can be summarized as follows : 1. The mean score of the side effect of RT increased significantly over the period of RT. When the RT was completed, the QOL score was the low-est, and the depression score was the highest, but the changes of these scores were not statistically significant. 2. When the 6-week RT was finished, the QOL was significantly correlated with QOL of the beginning of RT, depression at RT completion and age. At three months after the completion of RT, the QOL was significantly correlated with QOL of the beginning of RT, depression and side effect of RT at three months after the completion of RT. At six months after the completion of RT, the QOL was significantly negatively correlated with age. 3. In the stepwise multiple regression analysis, the major influencing variables on the QOL were various according to the time lapse after the RT. The QOL at the completion of RT was predicted by the QOL at the beginning of RT, depression at the completion of RT and age. The QOL at three months after the completion of RT was predicted by the QOL at the beginning of RT and side effect of RT and depression at three months after the completion of RT. The QOL at six months after the completion of RT was predicted by age. This study suggests that continuous nursing care be required for improving the QOL of breast cancer patients not only during the RT period but also for a long term after the completion of RT.

• Journal of Radiation Protection and Research
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• 제45권2호
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• pp.53-68
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• 2020

Background: International organizations such as the World Health Organization (WHO) and the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) reported public exposure doses due to radionuclides released in the Fukushima nuclear accident a few years after the event. However, the reported doses were generally overestimated due to conservative assumptions such as a longer stay in deliberate areas designated for evacuation than the actual stay. After these reports had been published, more realistic dose values were reported by Japanese scientists. Materials and Methods: The present paper reviews those reports, including the most recently published articles; and summarizes estimated effective doses (external and internal) and issues related to their estimation. Results and Discussion: External dose estimation can be categorized as taking two approaches-estimation from ambient dose rate and peoples' behavior patterns-and measurements using personal dosimeters. The former approach was useful for estimating external doses in an early stage after the accident. The first 4-month doses were less than 2 mSv for most (94%) study subjects. Later on, individual doses came to be monitored by personal dosimeter measurements. On the basis of these measurements, the estimated median annual external dose was reported to be < 1 mSv in 2011 for 22 municipalities of Fukushima Prefecture. Internal dose estimation also can be categorized as taking two approaches: estimation from whole-body counting and estimation from monitoring of environmental samples such as radioactivity concentrations in food and drinking water. According to results by the former approach, committed effective dose due to ¹³⁴Cs and ¹³⁷Cs could be less than 0.1 mSv for most residents including those from evacuated areas. Conclusion: Realistic doses estimated by Japanese scientists indicated that the doses reported by WHO and UNSCEAR were generally overestimated. Average values for the first-year effective doses for residents in two affected areas (Namie Town and Iitate Village) were not likely to reach 10 mSv, the lower end of the doses estimated by WHO.

• 방사성폐기물학회지
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• 제6권4호
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• pp.387-398
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• 2008

원자력이용시설 주변의 방사선환경조사는 교육과학기술부 고시 제2008-28호(원자력이용시설 주변의 방사선환경조사 및 방사선환경 영향평가에 관한 고시)에 따라 주변주민들이 받게 되는 방사선량이 연간 선량한도 이내로 충분히 적게 유지되고 있는지를 확인함으로써 주변주민의 건강과 안전을 확보하고 주변 환경의 오염을 사전에 예방하는 데 있다. 그런데 국내 최초의 방사성폐기물처분시설은 시설운영을 시작하기 전 최소 2년 동안의 기초 환경조사 자료를 취득하여 부지주변의 기준 준위를 설정해야 하므로 2007년부터 2009년 상반기 방사성폐기물처분시설의 시범운영 및 2010년 상반기 준공을 목표로 방사선과 방사능에 대한 관한 기초 환경조사 자료를 취득하고 있다. 따라서 방사성폐기물처분시설 주변의 방사선환경조사에 관한 추진내용을 분석하고 최근에 취득한 2008년도 전반기 방사선환경조사결과를 바탕으로 향후 조사계획서 개정방향과 방사성폐기물처분시설 주변의 방사선환경조사를 수행하기 위해 관련 내용을 고찰하였다.

• 한국치위생학회지
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• 제17권5호
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• pp.721-733
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• 2017

Objectives: This study was conducted to help reduce the anxiety about dental radiation exposures of people and to provide a way to instill proper awareness of dental radiation. Methods: To fulfill the research aim, this study conducted a survey to 330 subjects who are 20 years old or over living in Seoul and Gyeonggi-do during the month of December 2016. The collected data were analyzed using frequency analysis, t-test, one-way ANOVA, Pearson's correlation coefficient and multiple regression analysis among others. Results: As a result of examining the correlation between the anxiety of dental radiography and the correlations between the variables showed that the knowledge of radiation knowledge and the need for radiography (r=0.186, p<0.01), thinking about shooting (r=0.137, p<0.05), and the effectiveness of wearing protective equipment (r=0.120, p<0.01), showing statistically significant differences. As a result of examining the factors influencing anxiety of dental radiography among adults, high awareness of the need for dental radiography (p<0.01), the more the idea of dental anxiety in dental radiography is radiography showed higher (p<0.01). Conclusions: It seems proper that adequate dental radiography requires adequate explanation about it to patients, wearing of protective equipment, and appropriate dental radiation safety education.

• 한국수자원학회논문집
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• 제46권5호
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• pp.465-476
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• 2013

방출장파복사량은 수치예보모형, 수문모형, 증발산 등에 사용되는 인자로 지구의 에너지 균형을 이해하는데 필수적이다. 현재 국내외에서는 이를 정확하게 관측하기가 어려우며, 또한 공간적인 제약이 따른다. 따라서, 본 연구에서는 원격탐사 기술을 적용함으로써 지상관측의 단점을 보완하기 위해 정지궤도 위성인 Communication, Ocean and Meteorological Satellite (COMS)를 사용하여 방출장파복사량(Outgoing Longwave Radiation, $R_{lu}$ )를 계산하였다. 이 자료의 검증을 위해 유량조사사업단에서운영 관리하는 청미천/설마천 Flux Tower의 자료를 사용하여 계산된 $R_{lu}$ 와 MODIS 위성자료를 사용하여 계산된 $R_{lu}$ 를 비교 및 검증하였다. 전반적으로 COMS의 자료가 높은 상관계수를 나타내어 COMS의 사용가능성을 보여주었다. 이러한 결과를 바탕으로 향후 COMS를 이용한 증발산 산정 연구를 할 계획이다.

• Journal of Radiation Protection and Research
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• 제46권1호
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• pp.1-7
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• 2021

Background: The use of computed tomography (CT) device has increased in the past few decades in Japan. Dose optimization is strongly required in pediatric CT examinations, since there is concern that an unreasonably excessive medical radiation exposure might increase the risk of brain cancer and leukemia. To accelerate the process of dose optimization, continual assessment of the dose levels in actual hospitals and medical facilities is necessary. This study presents organ dose estimation using pediatric cerebral CT scans in the Kyushu region, Japan in 2012 and the web-based calculator, WAZA-ARI (https://waza-ari.nirs.qst.go.jp). Materials and Methods: We collected actual patient information and CT scan parameters from hospitals and medical facilities with more than 200 beds that perform pediatric CT in the Kyushu region, Japan through a questionnaire survey. To estimate the actual organ dose (brain dose, bone marrow dose, thyroid dose, lens dose), we divided the pediatric population into five age groups (0, 1, 5, 10, 15) based on body size, and inputted CT scan parameters into WAZA-ARI. Results and Discussion: Organ doses for each age group were obtained using WAZA-ARI. The brain dose, thyroid dose, and lens dose were the highest in the Age 0 group among the age groups, and the bone marrow and thyroid doses tended to decrease with increasing age groups. All organ doses showed differences among facilities, and this tendency was remarkable in the young group, especially in the Age 0 group. This study confirmed a difference of more than 10-fold in organ doses depending on the facility and CT scan parameters, even when the same CT device was used in the same age group. Conclusion: This study indicated that organ doses varied widely by age group, and also suggested that CT scan parameters are not optimized for children in some hospitals and medical facilities.

• 대한방사선기술학회지:방사선기술과학
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• 제46권1호
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• pp.53-61
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• 2023

The aim of this study analyzed the important level (IL) and understanding level (UL) including the Borich's need for students preparing of the national examination for radiological technologists at online open chatting room. A total of 254 survey were collected from a total of 1,016 students who used open chatting room from December 13 to December 16, 2022. A general characteristics were the age, gender, curriculum (3 or 4 years), grade and area. The IL, UL, learning satisfaction (LS), learning achievement (LA) and intention to continue using (ICU) were analyzed by using the 5 point Likert scale. There was no significant difference the LS, LA, and ICU according to general characteristics (p>0.05). There was a statistically significant difference a total of sixteen subjects based on the t-test results of the response values from the IL and UL (p<0.05). The total of ten subjects with the highest priority in the Locus for Focus models were the Ultrasonography, Human anatomy, Magnetic resonance imaging, Radiation therapy, Cardiovascular and intervention, Computed tomography, Human physiology, Radiographic imaging, Fluroscopic radiography, and Nuclear medicine) that the Borich's need was also the same as the top 10 ranked subjects. The LS (4.23±0.72), LA (4.18±0.73), and ICU (4.15±0.78) for open chatting room were high. This study identified the subjects most needed by college students by the Borich's need analysis. First, it is necessary to provide intensive education on subjects with high scores that are most needed by college students. Second, it is necessary to improve the teaching method for subjects with low need and low level of understanding.

• Journal of Radiation Protection and Research
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• 제33권4호
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• pp.173-181
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• 2008

실내 라돈 검출기의 신뢰성 평가를 위해서 미국 Landauer사의 $RadTrak^{(R)}$, 헝가리 Radosys사의 $Radopot^{(R)}$, 그리고 미국 Rad elec 사의 $E-PERM^{(R)}$ 검출기의 성능을 비교 검토하였다. RadTrak과 Radopot에 대한 라돈 표준 챔버 테스트 결과, $AlphaGUARD^{(R)}$ 검출 결과와 비교하여 각각 -13.2%. -6.0%로 라돈 검출기 성능평가기준인 ${\pm}20%$ 이내에 포함되는 결과를 보였다. 또한, 실제 현장에서의 장기간 측정을 통한 성능을 평가하기 위하여 약 100여개의 가옥 내 동일한 장소에 각각의 검출기를 1 년 동안 설치하여 비교하였다. RadTrak 과 Radopot 의 비교에서는 매우 좋은 상관관계 ($R^2$ = 0.91)를 보였지만, E-PERM과 Radopot의 비교결과, 거의 상관성을 파악 할 수 없었다($R^2$ = 0.021). 또한, E-PERM을 이용한 연평균 전국 실내 공간감마선량률 등준위도는 Portable Ion Chamber를 이용한 전국 실외 공간감마선량률 등준위도와 다소 상이한 결과를 보였다. 실험 결과를 바탕으로 향 후 대규모 라돈농도조사에 필요한 검출기 선정 요건에 대해서 논의 하였다.