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Comparison of Dosimetrical and Radiobiological Parameters on Three VMAT Techniques for Left-Sided Breast Cancer

  • Kang, Seong-Hee;Chung, Jin-Beom;Kim, Kyung-Hyeon;Kang, Sang-Won;Eom, Keun-Yong;Song, Changhoon;Kim, In-Ah;Kim, Jae-Sung
    • Progress in Medical Physics
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    • v.30 no.1
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    • pp.7-13
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    • 2019
  • Purpose: To compare the dosimetrical and radiobiological parameters among various volumetric modulated arc therapy (VMAT) techniques using restricted and continuous arc beams for left-sided breast cancer. Materials and Methods: Ten patients with left-sided breast cancer without regional nodes were retrospectively selected and prescribed the dose of 42.6 Gy in 16 fractions on the planning target volume (PTV). For each patient, three plans were generated using the $Eclipse^{TM}$ system (Varian Medical System, Palo Alto, CA) with one partial arc 1pVMAT, two partial arcs 2pVMAT, and two tangential arcs 2tVMAT. All plans were calculated through anisotropic analytic algorithm and photon optimizer with 6 MV photon beam of $VitalBEAM^{TM}$. The same dose objectives for each plan were used to achieve a fair comparison during optimization. Results: For PTV, dosimetrical parameters such as Homogeneity index, conformity index, and conformal number were superior in 2pVMAT than those in both techniques. $V_{95%}$, which indicates PTV coverage, was 91.86%, 96.60%, and 96.65% for 1pVMAT, 2pVMAT, and 2tVMAT, respectively. In most organs at risk (OARs), 2pVMAT significantly reduced the delivered doses compared with the other techniques, excluding the doses to contralateral lung. For the analysis of radiobiological parameters, a significant difference in normal tissue complication probability was observed in ipsilateral lung while no difference was observed in the other OARs. Conclusions: Our study showed that 2pVMAT had better plan quality and normal tissue sparing than 1pVMAT and 2tVMAT but not for all parameters. Therefore, 2pVMAT could be considered the priority choice for the treatment planning for left breast cancer.

Vascular plant diversity of Gwangdeoksan Mountain (Cheonan-Asan, Korea): insights into ecological and conservation importance (광덕산(천안·아산시) 관속식물상의 다양성: 생태학적, 보존학적 중요성)

  • JEON, Ji-Hyeon;CHO, Myong-Suk;YUN, Seon A;GIL, Hee-Young;KIM, Seon-Hee;KWON, Youl;SEO, Hee-Seung;SHUKHERTEI, Ariun;KIM, Seung-Chul
    • Korean Journal of Plant Taxonomy
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    • v.51 no.1
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    • pp.49-99
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    • 2021
  • Gwangdeoksan Mountain (699.3 m) is the highest border mountain between the two cities of Chungcheongnamdo Province, Cheonan and Asan, Korea. In this study, we investigated the flora of Gwangdeoksan Mt. from April of 2015 to October of 2017. Through 20 independent field investigations, we identified and tallied a total of 428 species, 9 subspecies, 30 varieties, and a forma in 287 genera and 97 families. Of a total of 468 taxa, 128 taxa in 112 genera and 58 families were found to be Korean endemic species (7 taxa), floristic regional indicator species (45 taxa), rare or endangered species (3 taxa), species subject to the approval of outbound transfer (73 taxa), and alien or ecosystem disturbing species (32 taxa). The flora of Gwangdeoksan Mt. can be divided into four distinct floristic subregions, with higher diversity in the north-facing subregion. The complex flora of Gwangdeoksan Mt., emerging at the edge of two floristic regions of the Korean peninsula, may represent a significant conservation priority and a topic for future ecological and geographical studies.

Discussion of Alternatives for Inter-Korean Mobile Communication Cooperation in the era of 5G Technology (5G시대, 남북한 이동통신 협력 대안 논의)

  • Lee, Jeong-Jin
    • Informatization Policy
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    • v.29 no.1
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    • pp.84-102
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    • 2022
  • Changes have been taking place in North Korea, which has been pushing for selective informatization with a priority on a system safety. North Korea has been developing its own mobile communication industry over the past decade by expanding base stations, producing smartphones on its own, and developing applications useful in real life. Recently, the introduction of 5G technology has been elevated to the status of a national agenda to be fostered as a key industry for national economic development. The time has arrived when the needs of North Korea, which has to advance technology, are aligned with the capabilities of South Korean mobile communication companies, which are seeking to new markets to overcome stagnant growth. The purpose of this paper is to illustrate a cooperative scenario for mobile communications companies between the two Koreas in the early stages of the 4th Industrial Revolution and its core technology 5G, while also making a timely proposal to position North Korea in the GVC. Mobile communications is a large-scale industry that can create synergies from inter-Korean economic cooperation by facilitating exchanges and cooperation between the two Koreas, inducing numerous derivative industries and driving job creation. Joint mobile communications activities with North Korea would be an effective cooperative aspect that can contribute to the economic prosperity of the entire Korean Peninsula.

Korea-U.S. Relationship appearing in the Newspaper and Social Media: Based on the news and information related to the (언론과 소셜미디어를 통해 살펴본 한미관계: <한미정상회담> 관련 뉴스와 정보를 중심으로)

  • Hong, Juhyun
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.5
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    • pp.459-468
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    • 2022
  • This study searched and analyzed news and information on the Korea-U.S. Summit to explore which political agenda is spreading among Korean newspapers and social media. The result of the analysis revealed that, on the one hand, the conservative-leaning newspaper, Chosunilbo, covered the unresolved issue between two countries. The principal source of news was the opposition party. On the other hand, the progressive-leaning newspaper, Kyunghany Sinmun, highlighted President Moon's visit to the United States and described the visit to the United States as an achievement. In this paper, the principal source of news is the ruling party. Both conservative and the progressive newspapers did not present a negative view of the United States. In the case of Chosunilbo, it mentioned that foreign policy priority of President Biden is human rights in North Korea. If the two countries do not solve this issue, the relationship between Korea and the United States will not develop further. Second, I searched YouTube videos about the Korea-U.S. summit and conducted a network analysis to understand the influence of YouTube videos and explore their relationship the each other. The results of the analysis revealed that the 10 most influential videos portrayed the Moon government positively. These videos held the achievement of the visit to the United States in highly esteem and framed it positively, similarly to the progressive newspaper.

A qualitative study for barrier factors of Korean venture firms' internationalization using Analytic Hierarchy Process (AHP를 이용한 한국벤처기업의 국제화 장애요인에 관한 질적 연구)

  • Yoo, Sung-Joon;Kim, Hag-Min
    • Korea Trade Review
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    • v.43 no.1
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    • pp.199-221
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    • 2018
  • The internationalization of venture firms is of importance resulting from the increased opportunities as well as the entry barriers faced in this process. This study is to investigate barrier factors affecting Korean venture firms' internationalization. Among these factors, we measured relative weights using Analytic Hierarchy Process (AHP). Literatures regarding global firm's internationalization was reviewed, and barriers were classified environment, corporate and CEO barriers. Multiple variables were used in order to measure their relative significance. We surveyed executives of venture firms comprising two groups: first, 15 global venture firms, and secondly, gradually internationalizing firms. The two groups show contradictory results as environment barriers are the primary for born-global ventures and corporate barriers are the primary for gradually internationalizing ventures. Concerning corporate barriers, the lack of marketing capability is the highest barrier for both groups. The CEO barrier is the lowest for both groups. Regarding corporate barriers, gradually internationalizing ventures considers the risk of business as highest, whereas born-global ventures features the lack of R&D capacity as highest Results of this paper imply that firms should consider priority and sequential approaches in facing environment, corporate and CEO barriers.

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The Influence of Positive Thought about Social Capital on Social Participation of the Elderly Koreans (사회 자본에 대한 긍정적인 생각이 한국노인의 사회 참여에 미치는 영향)

  • Lee, Hyo Young;Jeon, Gyeong Suk
    • 한국노년학
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    • v.29 no.3
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    • pp.789-803
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    • 2009
  • We investigated the influences of positive thought about social capital on social participation of the elderly Koreans. The study design was cross-sectional analysis of the National Statistic Office Study of Korean Society Statistics Survey 2003. Participants were total of 8,586 representative samples. Two types of social participation were investigated: meeting attendance and volunteer obligations. The base model included five thoughts about social capital that must be settled as a priority in Korea, i.e., reducing the differences between the rich and the poor, reducing the crime rate, reducing regulations and corruption, improving the moral level, eliminating environmental pollution. Social participation was influenced by positive thoughts about social capital, and different kinds of thoughts had different influences on different types of social participation. The elderly who responded positively to 'reducing the differences between the rich and the poor' attended all two types of social participation more. Along with education and health status, positive thought about social capital is another important factor that influences increased social participation. It may also compensate for deteriorating health with increasing age by promoting social participation. Encouraging social participation is a good way to improve the health of the elderly, as are efforts to change thought about social capital positively.

Fabrication of a Dual-structured Biomaterial Combining Collagen and Fibrinogen (콜라겐과 피브리노겐을 합성한 이중구조 생체재료의 제작)

  • Hong-Moon Jung
    • Journal of the Korean Society of Radiology
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    • v.17 no.6
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    • pp.993-999
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    • 2023
  • Bio materials of fibrinogen and collagen are widely used in tissue regeneration engineering. In this study, I aim to create a new dual-structure support using these two materials. Strategically, tissue regeneration takes priority over blood vessel regeneration, so by forming a fibrinogen support that helps blood vessel formation on the outside of the double support and placing collagen, which is more effective in tissue regeneration, in the center, a synergistic effect in new tissue regeneration is expected. Although these two materials have been used interchangeably in previous studies, there has been no report yet on making a support through the formation of a support structure for the core system. Therefore, the core of this study, the double scaffold, is to propose a method for manufacturing a core structure with a collagen scaffold on the inside and fibrinogen on the outside. The experimental results showed that the fibrinogen located on the outside of the scaffold resulted in rapid biodegradation and drug release due to strategic biodegradation of the dual structure scaffold. On the other hand, collagen scaffolds were found to be able to maintain drug release time relatively longer than fibrinogen scaffolds. In conclusion, it is believed that applying the method of creating a double scaffold will have a synergistic effect on defective tissue regeneration.

A Study of the Ethical Values of EMT students (응급구조과 학생의 윤리적 가치관에 관한 연구)

  • Kim, Mi-Seon
    • The Korean Journal of Emergency Medical Services
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    • v.5 no.1
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    • pp.37-51
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    • 2001
  • This study is aimed at examining the ethical values of EMT students. The results below are based on the revised questionnaires, which can be applicable to EMT from the original questionnaires developed by Lee(1990), with a sample of 124 students consisting of 63 first and 61 second year students, conducted November 2-8, 2001. Data were analyzed using SPSS in terms of means, standard deviations, t-test, ANOVA, Pearson's correlation coefficient. The results are as follows: 1. In the area of Human life, all subjects showed utilitarian disposition. All respondents perceived the item "When patients recognizing there is no hope for survival ask for euthanasia, it is ethically right to accommodate their opinions." as the most utilitarian item, whereas they perceived the item "When an hopeless patient is on cardiac arrest, it is ethically right to do CPR as the most deontoogical item. 2. In the area of patient relationship, all students of two groups took on deontoogical characteristics, but there were no statistically significant differences between two groups. All students perceived an item "EMT have to keep it secret if patients disclose their suicide intentions and ask for absolute secrecy" the most utilitarian item, whereas they perceived an item "Even though patients act and speak in a very rude manner, EMT people should do their best to provide care for patients." as the most deontoogical item. 3. In the area of task relationship, first year students perceived an item "Given time limitations, it is ethically right to give priority to the patients who can be rehabilitated over the patients who can't be fully recovered." as the most utilitarian item, whereas second year students perceived an item "Under no circumstances should any placebo be administered to patients." as the most utilitarian item. All students perceived an item "When EMT students see an unconscious person lying in the street, they have to give him/her emergency treatment." as the most deontoogical item. 4. In the area of coworker relationship, all students of two groups took on deontoogical disposition, but there were no significant differences between two groups. All students of two groups perceived an item "Suppose you are regarded as the person who would be promoted. However, you think that your coworker is more competent than you. In that case you should tell your supervisor about your coworker." as the most utilitarian item. First year students perceived an item, whereas second year students perceived an item "When you observe coworkers' misconduct at work, it is ethically right to ignore their misdeeds." as the most deontoogical item. 5. This study demonstrated that for the first year students, there is a correlational relationship between areas of human life and task relationship, and between areas of task relationship and coworker relationship, whereas for the second year students, there is a correlational relationship between areas of human life and task relationship. 6. In areas of human life and task relationship, there are significant differences according to attitudes toward EMT and attendance at ethics training sessions. In the area of coworker relationship, there are significant differences according to religion, attendance at ethics training sessions, and a code of ethics. Recommendations for future research, 1. Sample items to measure ethical values and the instrument tailored to the needs of EMT should be developed. 2. A longitudinal study to track ethical value changes according to the amount of work experience is needed. 3. A code of ethics and/or ethics training, which could apply in actual situations, should be implemented.

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An Evaluation of the Private Security Industry Regulations in Queensland : A Critique (호주 민간시큐리티 산업의 비판적 고찰 : 퀸즐랜드주를 중심으로)

  • Kim, Dae-Woon;Jung, Yook-Sang
    • Korean Security Journal
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    • no.44
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    • pp.7-35
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    • 2015
  • The objective of this article is to inform and document the contemporary development of the private security industry in Queensland Australia, a premier holiday destination that provide entertainment for the larger region. The purpose of this review is to examine the comtemporary development of mandated licensing regimes regulating the industry, and the necessary reform agenda. The overall aim is threefold: first, to chart the main outcomes of the two-wave of reforms since the mid-'90s; second, to examine the effectiveness of changes in modes of regulation; and third, to identify the criteria that can be considered a best practice based on Button(2012) and Prenzler and Sarre's(2014) criteria. The survey of the Queensland regulatory regime has demonstrated that, despite the federal-guided reforms, there remain key areas where further initiatives remain pending, markedly case-by-case utilisation of more proactive strategies such as on-site alcohol/drug testing, psychological evaluations, and checks on close associates; lack of binding training arrangement for technical services providers; and targeted auditing of licensed premises and the vicinity of venues by the Office of Fair Trading, a licensing authority. The study has highlighted the need for more determined responses and active engagements in these priority areas. This study of the development of the licensing regimes in Queensland Australia provides useful insights for other jurisdictions including South Korea on how to better manage licensing system, including the measures required to assure an adequate level of professional competence in the industry. It should be noted that implementing a consistency in delivery mode and assessment in training was the strategic imperative for the Australian authority to intervene in the industry as part of stimulating police-private partnerships. Of particular note, competency elements have conventionally been given a low priority in South Korea, as exemplified through the lack of government-sponsored certificate; this is an area South Korean policymakers must assume an active role in implementing accredited scheme, via consulting transnational templates, including Australian qualifications framework.

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Ship's Hull Fouling Management and In-Water Cleaning Techniques (선체부착생물관리와 수중제거기술)

  • Hyun, Bonggil;Jang, Pung-Guk;Shin, Kyoungsoon;Kang, Jung-Hoon;Jang, Min-Chul
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.24 no.6
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    • pp.785-795
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    • 2018
  • The International Maritime Organization (IMO) has recognized the risk of hull fouling and announced '2011 Guidelines for the control and management of ship's biofouling to minimize the transfer of invasive aquatic species'and is planning international regulations to enforce them in the future. In this study, to effectively respond to future international regulation, we introduce the case of leading countries related to management of hull fouling and also investigate environmental risk assessment techniques for in-water cleaning. Australia and New Zealand, the leading countries in hull fouling management, have established hull fouling regulations through biological and chemical risk assessment based on in-water cleaning scenarios. Most European countries without their government regulation have been found to perform in-water cleaning in accordance with the IMO's hull fouling regulations. In the Republic of Korea, there is no domestic law for hull fouling organisms, and only approximately 17 species of marine ecological disturbance organisms, are designated and managed under the Marine Ecosystem Law. Since in-water cleaning is accompanied by diffusion of alien species and release of chemical substances into aquatic environments, results from biological as well as chemical risk assessment are performed separately, and then evaluation of in-water cleaning permission is judged by combining these two results. Biological risk assessment created 40 codes of in-water cleaning scenarios, and calculated Risk Priority Number (RPN) scores based on key factors that affect intrusion of alien species during in-water cleaning. Chemical risk assessment was performed using the MAMPEC (Marine Antifoulant Model to Predict Environmental Concentrations), to determine PEC and PNEC values based on copper concentration released during in-water cleaning. Finally, if the PEC/PNEC ratio is >1, it means that chemical risk is high. Based on the assumption that the R/V EARDO ship performs in-water cleaning at Busan's Gamcheon Port, biological risk was estimated to be low due to the RPN value was <10,000, but the PEC/PNEC ratio was higher than 1, it was evaluated as impossible for in-water cleaning. Therefore, it will be necessary for the Republic of Korea to develop the in-water cleaning technology by referring to the case of leading countries and to establish domestic law of ship's hull fouling management, suitable for domestic harbors.