• Title/Summary/Keyword: Treatment Plan

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A study on Determination Method of the Compliance Concentration of Effluent Limitation from Public Sewage Treatment Works in the Jinwee-stream Watershed Sewer System (유역하수도 공공하수처리시설의 방류수 수질 준수농도 설정방안 연구: 진위천 수계를 중심으로)

  • Jeong, Dong-Hwan;Cho, Yangseok;Kim, Youngseok;Ahn, Kyunghee;Chung, Hyen-Mi;Kwon, Ohsang
    • Journal of Korean Society of Water and Wastewater
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    • v.29 no.4
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    • pp.493-502
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    • 2015
  • In accordance with the Watershed Sewer System Maintenance Plan enforced on February 2, 2013, the different compliance concentration of effluent limit be applied to effluent discharged from public sewage treatment works(PSTWs) in each watershed on the basis of water quality thereof. With the introduction of watershed sewer system, it is necessary to set the compliance concentration of effluent limit for PSTWs situated in the watershed, by region and PSTW size, to achieve water quality criteria for regional watersheds or target water quality under TMDL program. Watershed Environmental Agencies establish the Watershed Sewer System Maintenance Plan and set the compliance concentrations of effluent limit for PSTWs under the plan. The agencies plan to apply tougher effluent BOD concentration limits in Class I to IV areas. Effluent BOD concentration limits will be toughened from 5~10 mg/L to 3 mg/L in class II~III areas, from 10mg/L to 5mg/L in class IV areas. Uniform application of effluent BOD concentration limits to PSTWs in the watershed sewer system need to be complemented considering type of sewage treatment technology employed and watershed characteristics. Therefore, this study presents method to determine the compliance concentration of effluent limit from PSTWs in the watershed.

Oral Care and Considerations for Dental Treatment in Dementia Patients (치매 환자의 구강관리와 치과치료 시 고려사항)

  • Park, Moon-Soo
    • The Journal of the Korean dental association
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    • v.56 no.4
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    • pp.231-237
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    • 2018
  • The number of patients with dementia in Korea is estimated to be 576,000 in 2013 and 648,000 in 2015, and 840,000 in 2020 and 2,710,000 in 2050. Therefore, it can be expected that the number of patients with dementia will increase among the elderly patients who are looking for dentistry. Dementia and oral hygiene are closely related, so the future role of the dentist is very important. In order to treat effectively the patients with cognitive disorders, we should consider effective communication methods with them. Xerostomia is another important factor affecting oral health of dementia patients. In establishing the dental treatment plan, the most appropriate treatment method should be selected considering the characteristics of individual dementia patients and all possible efforts should be made for successful treatment results.

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Dosimetric Comparison of One Arc & Two Arc VMAT Plan for Prostate cancer patients (Prostate Cancer 환자에 대한 One Arc와 Two Arc VMAT Plan의 선량 측정 비교 분석)

  • Kim, Byoung Chan;Kim, Jong Deok;Kim, Hyo Jung;Park, Ho Chun;Baek, Jeong Ok
    • The Journal of Korean Society for Radiation Therapy
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    • v.30 no.1_2
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    • pp.107-116
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    • 2018
  • Purpose : Intensity-modulated radiation therapy(IMRT) has been widely used for radiation therapy of Prostate Cancer because it can reduce radiation adverse effects on normal tissues and deliver more dose to the Prostate than 3D radiation therapy. Volumetric modulated arc therapy(VMAT) has been widely used due to recent advances in equipment and treatment techniques. VMAT can reduce treatment time by up to 55 % compared to IMRT, minimizing motion error during treatment. Materials and Methods : In this study, compared the MU and DVH values of 10 patients with prostate cancer by classifying them into 4 groups with 5 LN-Prostate groups and 5 Only-Prostate. And DQA measurements were performed using ArcCHECK and MapCHECK. Results : The results of Target and OAR dose distribution of Prostate patients are as follows. $D_{max}$ was in the range of 100~110 % in 4 groups, and more than 110 % of hot spot was not seen. Only-Prostate ($P_1$, $P_2$) without LN had a satisfactory dose distribution for the target dose, but slightly better for 2 arc plan($P_2$) than 1 arc plan($P_1$). The target dose $D_{98%}$ distribution in the LN-Prostate ($P_{L1}$, $P_{L2}$) group showed better 2 arc plan($P_{L2}$) than 1 arc plan($P_{L1}$), But in the case of 1 arc plan($P_{L1}$), the target dose $D_{98%}$ value was not enough. In OAR, the dose distribution of 1 Arc($P_1$) Plan and 2 Arc($P_2$) Plan in the Only-Prostate ($P_1$, $P_2$) Group satisfied the prescribed dose value. But, The dose distribution of 1 arc($P_1$) was slightly higher. In LN-Prostate OAR, 1 Arc($P_{L1}$) Plan showed higher dose than the prescribed dose. The Gamma evaluation pass rate of ArcCHECK and MapCHECK calculated from the DQA measurements was slightly higher than 99 % and the mean error range of the point dose measurements using the CC04 ion chamber was less than 1 %. Conclusion : In this study, Only-Prostate ($P_1$, $P_2$) group, the dose of 2 Arc plan was better. However, considering the treatment time and MU value, 1 Arc treatment method was more suitable. In the LN-Prostate ($P_{L1}$, $P_{L2}$) group, 2 Arc($P_{L2}$) treatment method showed better results and satisfied with Target $D_{98%}$ and OAR prescription dose.

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The System of Sewage and Domestic Wastewater Treatment Plants in Tan-Sui River Basin

  • Ko, Chun-Han
    • Proceedings of the Korean Environmental Health Society Conference
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    • 2002.04a
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    • pp.26.2-39
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    • 2002
  • Tan-Sui River Basin covers Taipei metropolitan area of 2,726 square kilometers with more than six million residents. Since 1988, Taiwan government started to plan and construct an integrated sewerage system, consisted by both separated and concentrated trunk sewers, wastewater treatment plants and ocean outfalls. This presentation will introduce the master plan and major facilities of Tan-Sui River Basin sewerage system. Other measures to protect general water quality and the environment of adjacent river basin area of Tan-Sui River and her tributaries by Taiwan EPA will be presented as well.

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Analysis of Radiation Treatment Planning by Dose Calculation and Optimization Algorithm (선량계산 및 최적화 알고리즘에 따른 치료계획의 영향 분석)

  • Kim, Dae-Sup;Yoon, In-Ha;Lee, Woo-Seok;Baek, Geum-Mun
    • The Journal of Korean Society for Radiation Therapy
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    • v.24 no.2
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    • pp.137-147
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    • 2012
  • Purpose: Analyze the Effectiveness of Radiation Treatment Planning by dose calculation and optimization algorithm, apply consideration of actual treatment planning, and then suggest the best way to treatment planning protocol. Materials and Methods: The treatment planning system use Eclipse 10.0. (Varian, USA). PBC (Pencil Beam Convolution) and AAA (Anisotropic Analytical Algorithm) Apply to Dose calculation, DVO (Dose Volume Optimizer 10.0.28) used for optimized algorithm of Intensity Modulated Radiation Therapy (IMRT), PRO II (Progressive Resolution Optimizer V 8.9.17) and PRO III (Progressive Resolution Optimizer V 10.0.28) used for optimized algorithm of VAMT. A phantom for experiment virtually created at treatment planning system, $30{\times}30{\times}30$ cm sized, homogeneous density (HU: 0) and heterogeneous density that inserted air assumed material (HU: -1,000). Apply to clinical treatment planning on the basis of general treatment planning feature analyzed with Phantom planning. Results: In homogeneous density phantom, PBC and AAA show 65.2% PDD (6 MV, 10 cm) both, In heterogeneous density phantom, also show similar PDD value before meet with low density material, but they show different dose curve in air territory, PDD 10 cm showed 75%, 73% each after penetrate phantom. 3D treatment plan in same MU, AAA treatment planning shows low dose at Lung included area. 2D POP treatment plan with 15 MV of cervical vertebral region include trachea and lung area, Conformity Index (ICRU 62) is 0.95 in PBC calculation and 0.93 in AAA. DVO DVH and Dose calculation DVH are showed equal value in IMRT treatment plan. But AAA calculation shows lack of dose compared with DVO result which is satisfactory condition. Optimizing VMAT treatment plans using PRO II obtained results were satisfactory, but lower density area showed lack of dose in dose calculations. PRO III, but optimizing the dose calculation results were similar with optimized the same conditions once more. Conclusion: In this study, do not judge the rightness of the dose calculation algorithm. However, analyzing the characteristics of the dose distribution represented by each algorithm, especially, a method for the optimal treatment plan can be presented when make a treatment plan. by considering optimized algorithm factors of the IMRT or VMAT that needs to optimization make a treatment plan.

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A Study on the Characteristics of Small-scale Sewage Treatment Plants in Mountain Area and Operation Plan for Winter Season (산악지역 소규모하수처리시설의 특성 및 동절기 운영방안에 관한 연구)

  • Chae, Heejun;Lee, Jiwon;Gil, Kyungik
    • Journal of Wetlands Research
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    • v.23 no.2
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    • pp.183-188
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    • 2021
  • In the case of small-scale sewage treatment plants, it is reported that the amount of inflow fluctuates and it is difficult to operate the sewage treatment due to the inflow of unknown water due to the aging of sewage pipes. In particular, there are many overall operational problems due to the decrease in water temperature in winter. In this study, the operation status of small-scale sewage treatment facilities located in mountainous areas and water quality changes according to temperature were analyzed. It was found that the concentration of BOD, COD, and SS in effluent water was greatly changed depending on the temperature, and it was found that COD was particularly affected. Accordingly, the water level of the bioreactor was raised by 0.4m in order to temporarily apply measures to lower the water temperature in winter. As a result of comparing and analyzing the results when the bioreactor was covered and operated, a significant improvement effect occurred. In addition, a plan to improve the treatment efficiency of the bioreactor in winter is to extend the residence time of the bioreactor, a plan to expand the bioreactor specification, a new flow control tank and transport it to the outside, and an oxygen-free air diffuser to be used as an aerobic tank in case of an emergency in winter. The improvement plan was suggested. The results of this study are expected to be used as basic data for the operation plan of small-scale sewage treatment facilities in winter.

Consideration Regarding the Breast Cancer Treatment Plan That Used Irregular Surface Compensator (ISC) (Irregular Surface Compensator (ISC)를 이용한 유방암치료계획에 관한 고찰)

  • Je, Young-Wan;Kim, Chan-Yong;Park, Heung-Deuk
    • The Journal of Korean Society for Radiation Therapy
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    • v.19 no.2
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    • pp.131-141
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    • 2007
  • Purpose: Try to compare dose distribution and lung dose of radiation treatment plan of the breast cancer that used Irregular Surface Compensator (ISC) and treatment plan that used a wedge filter. Materials and Methods: Established a treatment plan to be distributed over 95% of prescription dose (5,040 cGy) of the two tangent-half fields that used a wedge filter and ISC at a breast organization as made to breast cancer patient having an irregular surfaces after surgery. Compared high dose area and DVH, and verified a treatment plan as used film with rectangular phantom. Results: Maximum dose point in breast tissue appeared to 107.5% in case of tangent-half fields Tx plan that used a wedge filter, and lung volumes exposed above 20 Gy by 7.63%. In case of ISC, maximum dose point in breast tissue appeared to 106.4%, and lung volumes exposed above 20 Gy by 6.5%. The film measurement results that used phantom, 105$\sim$110% high dose region was distributed to the upper part and both edges of phantom. However in case of ISC, appeared by 100$\sim$105% dose conformity distribution. Conclusion: In general, the Irregular Surface Compensator (ISC) can improve the dose conformity of breast tissues, as well as reduced hot spots in the lung and in the breast. Such an advantage by using ISC technique is more beneficial for patients who have more irregular surfaces after surgery.

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Study on Energy Independence Plan for Sewage Treatment Plant (하수처리시설의 에너지 자립화 방안 연구)

  • Kim, Young-Jun;Lee, Jong-Yeon;Kang, Yong-Tae
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.22 no.1
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    • pp.49-55
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    • 2010
  • The objectives of this study are to analyze the energy independence plan and to propose a suitable sewage treatment plant in Korea. The total amount of electricity consumption for public sewage treatment plant was estimated as 1,812 GWh in 2007. It was estimated that total 16 sewage treatment plants with renewable energy systems produced electricity of 15 GWh per year, which could replace 0.8% of total electricity used for sewage treatment. It was found that domestic sewage treatment plants with power generation plants by digestion gas were installed in 7 places and produced electricity of 13 GWh per year. It was also found that the power generation plants by digestion gas were the most cost-effective for sewage treatment plant out of the renewable energy systems based on the benefit-cost analysis.

COMPREHENSIVE TREATMENT OF OBSTRUCTIVE SLEEP APNEA - THE ROLE OF DEPARTMENT OF DENTISTRY IN SLEEP CLINIC (폐쇄성 수면 무호흡증에 대한 포괄적 치료 - 수면 클리닉에서 치과의 역할)

  • Kwon, Tae-Geon;Cho, Yong-Won;Ahn, Byung-Hoon;Hwang, Sang-Hee;Nam, Ki-Young
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.30 no.2
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    • pp.150-156
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    • 2004
  • The etiology of the obstructive sleep apnea includes the various factors such as anatomical abnormality in upper airway, craniofacial structure, obesity and personal habit. To establish reasonable treatment plan, multi-department approach is should be emphasized because the treatment modality is depend on the result of analysis for degree & site of obstruction and various behavioral factors. In Sleep Clinic in Keimyung University Medical Center, the standard of care for sleep apnea patient was established according to the Standard of practice committee of Americal Sleep Disorders Association. After one year experience of comprehensive approach for sleep apnea we could achieve following recommendation for the treatment. 1) The multi-department examination and diagnosis could prevent unnessesary treatment because the treatment plan could be established under comprehensive discussion. 2) Determination of the site of obstruction is important for treatment planning. However, no single determinant could be found. We expect multi-department approach can reduce the mistake in detection of obstruction. 3) Further evaluation of treatmet outcome should be succeeded to establish Korean standard of care for sleep apnea treatment.

Dose rate measurement of Leksell Gamma Knife Perfexion using a 3D printed plastic scintillation dosimeter

  • Lee, Sangmin;Kim, Tae Hoon;Jeong, Jae Young;Son, Jaebum;Kim, Dong Geon;Cho, Gyu-Seok;Choi, Sang Hyoun;Chung, Hyun-Tai;Kim, Yong Kyun
    • Nuclear Engineering and Technology
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    • v.52 no.10
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    • pp.2334-2338
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    • 2020
  • In recent years, 3D printing technology has received significant research attention. Additionally, 3D printing technology is being applied to study radiation dosimeters of various materials. In this study, a plastic scintillator for 3D printing was developed in a laboratory and used to manufacture a plastic scintillation dosimeter (PSD) with a shape identical to that of the ionization chamber PTW31010. The 16-mm beam of Gamma Knife® Perfexion™ was irradiated to derive the absorbed dose rates of the PSD and PTW31010; they were subsequently compared with the dose rates of the treatment plan. The differences in the dose rates of the Gamma Knife treatment plan and the absorbed dose rates of PTW31010 were within 0.87%. The difference between the dose rates of the Gamma Knife treatment plan and the absorbed dose rates of the PSD were within 4.1%. A linear fit of the absorbed dose rates of four shots involving different dose rates and irradiation angles yielded an adjusted R-square value exceeding 0.9999. A total of 10 repeated measurements were conducted for the same shot to confirm its reproducibility, with a relative error of 0.56%.