• 대한두개안면성형외과학회지
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• 제18권3호
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• pp.162-165
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• 2017

Background: It is controversial issue that heparin decreases thrombosis for microsurgical anastomosis, and its effective role is under discussion. This study is for proving whether low-dose heparin is preventing thrombosis in free flap reconstruction. Methods: Through chart reviews of 134 patients, using low-dose heparin for free tissue transfer from 2011 to 2016, retrospective analysis was performed. 33 patients received low-dose heparin therapy after surgery. And 101 patients received no-heparin therapy. Complications included flap necrosis, hematoma formation, dehiscence and infection. Results: In no-heparin therapy group, comparing the flap necrosis revealed 16 cases (15.84%). And, flap necrosis was 6 cases (18.18%) in low-dose heparin therapy group. The statistical analysis of flap necrosis rate showed no significant difference (p=0.75). The results showed that there was no significant difference of flap necrosis rate between two groups. Conclusion: In this study, patients in the low-dose heparin group had no significantly lower rates of flap failure compared with no-heparin group. This suggests that low-dose heparin may not prevent thrombosis and subsequent flap failure to a significant extent.

• Journal of Radiation Protection and Research
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• 제46권1호
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• pp.8-13
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• 2021

Background: Salmonella enteritidis (SE) was the main cause of the pandemic of foodborne salmonellosis. The surface of eggs' shells can be contaminated with this bacterium; however, washing them with sodium hypochlorite solution not only reduces their flavor but also heavily impacts the environment. An alternative to this is surface sterilization using low-energy electron beam. It is known that irradiation with 1 kGy resulted in a significant 3.9 log reduction (reduction factor of 10,000) in detectable SE on the shell. FAO/IAEA/WHO indicates irradiation of any food commodity up to an overall average dose of 10 kGy presents no toxicological hazard. On the other hand, the Food and Drug Administration has deemed a dose of up to 3 kGy is allowable for eggs. However, the maximum dose permitted to be absorbed by an edible part (i.e., internal dose) is 0.1 Gy in Japan and 0.5 Gy in European Union. Materials and Methods: The electron beam (EB) depth dose distribution in the eggshell was calculated by the Monte Carlo method. The internal dose was also estimated by Monte Carlo simulation and experimentation. Results and Discussion: The EB depth dose distribution for the eggshells indicated that acceleration voltages between 80 and 200 kV were optimal for eggshell sterilization. It was also found that acceleration voltages between 80 and 150 kV were suitable for reducing the internal dose to ≤ 0.10 Gy. Conclusion: The optimum irradiative conditions for sterilizing only eggshells with an EB were between 80 and 150 kV.

• Journal of Photoscience
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• 제9권2호
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• pp.197-200
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• 2002

UVR-induced immunosuppression contributes to skin cancer. The aim was to construct accurate dose response curves for primary and secondary contact sensitivity for solar-simulated UVR (ssUVR; 290-400nm), UVA and UVB as the role of UVA in immunosuppression is controversial. We used a xenon arc source. The mice were immobilised, enabling accurate dosing. C57BL/6 mice were immunosuppressed at half the dose of ssUVR required to cause sunburn but not by higher doses (up to the sunburn dose). Thus, ssUVR causes systemic immunosuppression only over a narrow, low dose range. UVA caused suppression at low but not high doses whereas UVB induced immunosuppression at all doses tested. 8 weeks later the mice were resensitised to assess tolerance. Mice exposed to the minimum immunosuppressive dose of ssUVR prior to primary sensitisation were tolerant to re-sensitisation. However, at higher doses of ssUVR, these mice were protected from tolerance. Interestingly, while low doses of UV A caused immunosuppression, even lower doses enhanced the response to the second sensitisation. Higher doses of UVA had no affect. UVB induced tolerance in a dose related manner. Thus, ssUVR only induces immunosuppression and tolerance over a narrow dose range. Both UVA and UVB are immunosuppressive at this dose, while higher doses of UVA protect from the suppressive effects of UVB. Surprisingly very low doses of UVA enhanced memory development. Thus UVR has complex effects on the immune system depending on dose and spectrum.

• 핵의학기술
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• 제18권1호
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• pp.127-133
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• 2014

PET/CT에서 환자피폭 문제로 인해 저 선량의 중요성이 강조되고 있다. 본 연구에서는 기존에 사용되던 CT 데이터를 이용한 감쇠보정법인 CTAC와 새롭게 적용된 Q.AC를 환자실험과 팬텀 실험을 통해 저 선량으로 촬영 시 PET 영상에 미치는 영향에 대해 알아보고자 한다. 실험장비는 GE사의 PET/CT Discovery 710 (GE Healthcare, USA)를 사용하였으며 팬텀실험으로 감쇠보정의 정량적 평가를 위한 NEMA IEC body phantom과 균일성 평가를 위한 Uniform NU2-94 phantom을 사용하였다. 각각의 팬텀 내부에 동위원소 18-F FDG를 70.78 MBq, 22.2 MBq 주입하고 CT조건은 저 선량조건으로 80 kVp, 10 mA로부터 일반선량 조건으로 140 kVp, 120 mA 조건까지 스캔 후 CTAC와 Q.AC 두 감쇠보정법을 적용하여 재구성하였다. PET 영상에서 일반선량 조건을 기준값으로 정하고 horizomtal profile과 vertical profile을 통해 정량평가를 시행하고 기준값과의 상대적 오차를 평가하였다. 또한 환자실험으로 정상체중 환자와 과체중 환자를 구분하여 저 선량과 일반선량으로 비교 촬영한 뒤 CTAC와 Q.AC로 재구성된 PET영상에서 주요장기별 SUV에 대한 상대적 오차와 신호 대 잡음비를 비교분석하였다. 팬텀실험 결과 저선량 조건에서 CTAC와 Q.AC로 각각 재구성한 PET 영상의 profile과 상대적 오차에서 CTAC보다 Q.AC가 기준값과의 오차가 적은 그래프를 얻었다. 환자실험의 경우 일반선량 조건에서는 정상체중 환자와 과체중 환자 모두 감쇠보정법에 따른 상대적 오차값의 변화가 적었으나 저 선량 조건에서는 정상체중 환자보다 과체중 환자에서 감쇠보정법의 변경에 의한 상대적 오차의 감소폭이 커짐으로 기준값과 차이가 감소하였다. 기존의 감쇠보정법인 CTAC는 80 kVp, 10 mA의 저선량 CT를 사용하는데 있어 PET 영상의 선속경화현상이 발생한다. 이로 인해 CTAC를 이용하여 재구성된 PET 데이터는 정량화하는데 문제가 될 수 있음을 확인했다. 반면에 새로운 알고리즘이 적용된 Q.AC는 과체중 환자의 경우 80 kVp, 10 mA 정도까지는 140 kVp, 120 mA 조건으로 촬영하여 재구성한 PET 데이터 결과와 차이가 적음을 확인할 수 있었다. Q.AC를 이용한 경우 기존보다 저 선량의 CT를 이용해 PET의 재구성에 이용할 수 있으므로 환자의 피폭을 줄이는 데 큰 역할을 할 것으로 기대한다.

• Archives of Pharmacal Research
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• 제26권11호
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• pp.967-973
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• 2003

Cytochrome P4502C9(CYP2C9) is largely responsible for terminating anticoagulant effect by hydroxylation of S-warfarin to inactive metabolites. Mutations in the CYP2C9 gene result in the expression of allelic variants, CYP2C9*2 and CYP2C9*3 with reduced enzyme activity compared to wild type CYP2C9 *1. The aim of this study was to assess relationship between requirement of warfarin dose and polymorphism in CYP2C9 in Korean population. Patients on warfarin therapy for longer than 1 year were included from July 1999 to December 2000 and categorized as one of four groups; regular dose non-bleeding, regular dose bleeding, low dose non-bleeding and low dose bleeding. Low dose was defined as less than 10 mg/week for 3 consecutive monthly follow-ups. Bleeding complications included minor and major bleedings. Blood samples were processed for DNA extraction, genotyping and sequencing to detect polymorphism in CYP2C9. Demographic data, warfarin dose per week, prothrombin time (INR), indications and co-morbid diseases were assessed for each group. Total 90 patients on warfarin were evaluated; The low dose group has taken warfarin 7.6$\pm$1.7 mg/week, which was significantly lower than 31.4$\pm$0.9 mg/week in the regular dose group (p<0.0001). The measured INR in the low dose group was similar to that of the regular dose group (2.3$\pm$0.7 vs. 2.3$\pm$0.6, p=0.9). Even though there was a higher possibility of CYP2C9 variation in the low dose group, no polymorphism in CYP2C9 was detected. All patients were homozygous C416 in exon 3 for CYP2C9*2 and A1061 in exon 7 for CYP2C9*3. The DNA sequencing data confirmed the homozygous C416 and A 1061 alleles. In conclusion, polymorphism in CYP2C9 is not a critical factor for assessing warfarin dose requirement and risk of bleeding complications in a Korean population.

• 한국방사선학회논문지
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• 제15권2호
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• pp.117-123
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• 2021

본 논문에서는 흉부 저선량 CT와 복부 비조영 CT에서 선량기록을 바탕으로 환자선량에 영향을 줄 수 있는 요인과 상관관계를 확인하여 실질적인 선량 감소 방안의 근거를 마련하고자 하였다. 흉부 저선량 CT와 복부 비조영 CT 검사 시 불필요하게 피폭이 발생하는 원인을 찾기 위해 7가지 요인(나이, 성별, 키, 몸무게, BMI, 환자 상태 (입원, 외래), dose modulation 활성화 유무)과 CT 선량과의 상관관계를 확인하였다. 상관관계 확인을 위해 사용된 통계기법으로는 로지스틱 회귀분석을 사용하였다. 흉부 저선량 CT 검사에서는 키가 클수록, BMI 가 높을수록, dose modulation을 비활성화한 경우에 진단참고수준 (diagnostic reference levels, DRL) 기준치의 초과 위험률이 낮아졌다 (odds ration<1; p<0.05). 또한 여성의 경우와 몸무게가 클수록 DRL 기준치의 초과 위험률이 높아졌다 (odds ration>1; p<0.05). 복부 비조영 CT 검사에서는 몸무게가 클수록, dose modulation을 비활성화한 경우에 DRL 기준치의 초과 위험률이 낮아졌다 (odds ration<1; p<0.05). 이처럼 방사선 피폭에 영향을 주는 다양한 요인에 대한 연구를 수행하여 환자 선량과의 연관성을 찾고 이에 따른 선량을 낮추는 노력이 필요할 것으로 사료된다.

• 환경생물
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• 제19권3호
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• pp.205-210
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• 2001

묵은 배추와 무 종자에 저선량 ${\gamma}$선을 조사하여 종자발아율과 발아유식물의 효소활성 변화를 조사하였다. 발아율은 대조구에 비해 저선량 조사구에서 증가하는 경향을 보였는데 특히 발아초기단계에 효과가 뚜렷하게 나타났으며 배추는 2 Gy와 8 Gy조사구에서 4-ll % 정도, 무는 2 Gy, 6 Gy, 10 Gy 조사구에서 25-41% 정도 증가하였다. 저선량 ${\gamma}$선이 조사된 배추와 무의 유묘초장도 저선량 조사구에서 증가하였는데 특히 배추의 경우는 4 Gy와 l0 Gy 조사구에서, 무는 6 Gy 조사구에서 뚜렷한 증가효과를 보였다. 저선량 조사구의 단백질 함량은 발아초기단계에 대조구에 비해 증가하였으며 POD와 CAT 활성은 4 Gy와 l0 Gy 조사구에서 증가하였다. 이에 저선량 $\gamma$선에 의해 묵은 종자의 발아와 효소활성이 촉진됨을 확인할 수 있었다.

• Tuberculosis and Respiratory Diseases
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• 제57권2호
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• pp.118-124
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• 2004

Lung cancer is the leading cause of cancer death for men and women in the industrialized world. It is desirable to detect disease at a stage when it is not causing symptoms and when control or cure is possible. If the screening test detects patients with the disease at an early stage, they can be examined to confirm the diagnosis and intervention can alter the natural history of the disease. The results of screening programs designed to detect early lung cancer using either conventional chest radiograph or sputum cytology are disappointing for a diagnostic screening test. Because of advances in helical CT imaging techniques, screening for lung cancer has been suggested as a possible method of improving outcome. Findings in recent publications suggest that substantial dose reduction is possible in chest CT. The advantages of low-dose CT are more sensitive than chest radiograph for detecting small pulmonary nodules that may be lung cancers, shorter scanning time than conventional chest CT scan without intravenous contrast injection, cheaper cost than standard CT, low radiation dose. However, the true clinical significance of the small tumors found by screening is still unknown, and their effect on mortality awaits future investigation. Furthermore, in addition to detecting an increased number of lung cancers, low-dose CT found at least one indeterminate nodule in many of all screened patients. The majority should be benign but evaluation of all these indeterminate nodules is not a trivial problem in routine practice. In conclusion, lung cancer screening with low-dose CT is a complex subject. The true effectiveness of lung cancer screening (a reduction in mortality from lung cancer) with low-dose CT can be determined through well-designed randomized control trials with enrolment of appropriate subjects.

• 한국환경농학회지
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• 제19권2호
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• pp.142-146
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• 2000

저선량 방사선조사에 의한 참박의 초기생육과 유묘 생리활성에 미치는 영향을 보고자 세 품종의 참박종자에 ${\gamma}$선을 $0.5{\sim}30\;Gy$까지 조사하여 온실에서 재배하며 관찰한 결과는 다음과 같다. 저선량에 의한 참박의 초기생육 효과는 품종에 따라 다른 경향을 보였는데 종자발아율의 경우는 대체로 2 Gy와 8 Gy에서 효과가 있었고, 초기생육에서는 Patner와 Support 품종에서는 4 Gy, 16 Gy, 20 Gy 조사구에서, FR용자는 1 Gy 조사구에서 효과적으로 증가하였다. 저선량 ${\gamma}$선을 조사한 참박 유식물체의 엽록소함량은 생육과 어떠한 경향을 보이지 않았으나 초기생육과 항산화효소 활성은 저선량 조사에 의해 대체로 증가하는 경향을 보였다.

• KSBB Journal
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• 제28권6호
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• pp.415-422
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• 2013

Gamma irradiation (${\gamma}IR$) is widely used for radiotherapy as a treatment of cancer cells although it has a risk to damage normal cells. Inflammation is regarded as one of side effects of ${\gamma}IR$ while the effect of low dose of ${\gamma}IR$ on inflammation has not been researched well. Here, we investigated the inflammatory responses of low dose of ${\gamma}IR$ on murine spleen cells. It was evaluated if ${\gamma}IR$ affected the mitogen-induced lymphocyte proliferation, the regulation of various inflammatory cytokines (IFN-${\gamma}$, IL-2, IL-17, IL-4, IL-10), and the involvement of Ikaros and MAPK/NF-${\kappa}B$ medicated mechanism. Exposure of $^{137}Cs-{\gamma}IR$ below 2 Gy decreased the lymphocytes proliferative response to mitogens (LPS, ConA) except at the lowest dose, 0.05 Gy. IL-17, IL-2 and IL-4 mRNA increased at 0.5 and 2 Gy, but not altered at 0.05 Gy. IL-10, anti-inflammatory cytokine, increased only at 0.05 Gy. In regard to intracellular signaling, p-JNK, p-p38 and p-$I{\kappa}B{\alpha}$ were not changed, whereas the activation of ERK and Ikaros increased at the lowest dose. These results suggest that exposure of ${\gamma}IR$ less than 0.5 Gy (or below 0.05 Gy) has beneficial effects as a radiation hormesis on immune function.