• Title/Summary/Keyword: organ protection

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Dose estimation of cone-beam computed tomography in children using personal computer-based Monte Carlo software (PCXMC 소프트웨어를 이용한 소아에서의 CBCT 환자선량 평가)

  • Kim, Eun-Kyung
    • The Journal of the Korean dental association
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    • v.58 no.7
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    • pp.388-397
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    • 2020
  • Objective: The purpose of the study was to calculate the effective and absorbed organ doses of cone-beam computed tomography (CBCT) in pediatric patient using personal computer-based Monte Carlo (PCXMC) software and to compare them with those measured using thermoluminescent dosimeters (TLDs) and anthropomorphic phantom. Materials and Methods: Alphard VEGA CBCT scanner was used for this study. A large field of view (FOV) (20.0 cm × 17.9 cm) was selected because it is a commonly used FOV for orthodontic analyses in pediatric patients. Ionization chamber of dose-area product (DAP) meter was located at the tube side of CBCT scanner. With the clinical exposure settings for a 10-year-old patient, DAP value was measured at the scout and main projection of CBCT. Effective and absorbed organ doses of CBCT at scout and main projection were calculated using PCXMC and PCXMCRotation software respectively. Effective dose and absorbed organ doses were compared with those obtained by TLDs and a 10-year-old child anthropomorphic phantom at the same exposure settings. Results: The effective dose of CBCT calculated by PCXMC software was 292.6 μSv, and that measured using TLD and anthropomorphic phantom was 292.5 μSv. The absorbed doses at the organs largely contributing to effective dose showed the small differences between two methods within the range from -18% to 20%. Conclusion: PCXMC software might be used as an alternative to the TLD measurement method for the effective and absorbed organ dose estimation in CBCT of large FOV in pediatric patients.

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Legal Issues in Clinical Trial on Minor (미성년자 대상 임상시험에 관한 법적 문제점)

  • Song, Young-min
    • The Korean Society of Law and Medicine
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    • v.17 no.2
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    • pp.125-144
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    • 2016
  • All forms of Clinical trial should be fully equipped with protection systems for experimental subjects considering their uncertainty and various risks. Existing laws have some regulations in pharmaceutical affairs act and medical device act. Nonetheless, there is a limit to protect the subjects considering law objective to perform administration of medicine. Furthermore, the clinical trial on minor has no direct regulations in pharmaceutical affairs act, but prescribes certain portion in clinical trial assessment guideline on infants or medicine clinical trial management standard, however there is a limit because that is just recommendation not having legal effectiveness. The legislative solution would be possible for legal problems of clinical trial on minor by examining treatment system on minor in organ transplant act and clinical trial on minor in other foreign laws stronger than usual medical practice in terms of degree of human body invasion. I suppose that the control system of clinical trial being done focusing on the pharmaceutical affairs act, medical device act and other guidelines in existing laws system should be resolved by legislating 'trial subject protection law', in addition, this would be well balanced in organ transplant act on protection system of minor organ donors. Furthermore, the judgement on the consent ability and spontaneity in clinical trial on minor should be judged considering maturity and mentality of minor by clinical trial institutional review board based on legislative solution mentioned above.

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Comparison of the Breast Dose based on the Existence of the Bismuth Breast Protection Shield for Automatic Exposure Control and Manual Exposure Control with the Coronary Artery CT Angiography

  • Kim, Sang-Tae;Kang, Sang-Koo;Kim, Chong-Yeal
    • International Journal of Contents
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    • v.7 no.4
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    • pp.103-107
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    • 2011
  • The effective dose and the organ absorbed dose, which are given to a breast in the cases of using and not using the bismuth breast protection shield for the protection of a breast with the coronary artery CT angiography, have been measured and compared for the manual exposure control (MEC)and the automatic exposure control (AEC). In the cases of using and not using the bismuth breast protection shield, it has been found that the measured dose shows the reduction of about 23 to 26% for the MEC and about 22 to 25% for the AEC when the shield is used compared to the case of not using it. By comparing the shield and non-shield cases for the AEC and the MEC, it can be said that the value measured by carrying out the scanning process with the AEC mode has decreased by about 24 to 30% compared to the case of applying the MEC mode. Such a result shows that it is recommended to use the AEC mode for the reduction of the patient's exposure dose during the CT examination.

A Study on Improvement of Personal Information Protection Control Log Quality: A Case of the Health and Welfare Division (개인정보통합관제 로그품질 분석 및 개선에 관한 연구: 보건복지 분야 사례를 중심으로)

  • Lee, Yari;Hong, Kyong Pyo;Kim, Jung Sook
    • Journal of Korea Multimedia Society
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    • v.18 no.1
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    • pp.42-51
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    • 2015
  • In this paper, we analyze the quality status of Health and Welfare division's standardized log and asses the characteristics of the institutions' logs analysis to establish the criteria to minimize hazards and control the quality of log's institutional details to limit extraction. As a result, extraction condition's proposed development direction to adequately assess and control health and welfare abuses privacy control target log. This improvement over the status and quality of information shared with relation to institutional work of the log quality characteristics is made possible. In addition, quality control and inspection standards were prepared in accordance with the institutional log characteristics. Future research will include performing continuous analysis and improvement activities on the quality of logs with integrated control of sharing personal information and distributing information about logs' quality to proactively target organ. Therefore, we expect that correcting proactive personal information misuse and leakage is possible to achieve.

A review of the immunomodulatory activities of polysaccharides isolated from Panax species

  • Hu, Yeye;He, Yang;Niu, Zhiqiang;Shen, Ting;Zhang, Ji;Wang, Xinfeng;Hu, Weicheng;Cho, Jae Youl
    • Journal of Ginseng Research
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    • v.46 no.1
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    • pp.23-32
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    • 2022
  • Panax polysaccharides are biopolymers that are isolated and purified from the roots, stems, leaves, flowers, and fruits of Panax L. plants, which have attracted considerable attention because of their immunomodulatory activities. In this paper, the composition and structural characteristics of purified polysaccharides are reviewed. Moreover, the immunomodulatory activities of polysaccharides are described both in vivo and in vitro. In vitro, Panax polysaccharides exert immunomodulatory functions mainly by activating macrophages, dendritic cells, and the complement system. In vivo, Panax polysaccharides can increase the immune organ indices and stimulate lymphocytes. In addition, this paper also discusses the membrane receptors and various signalling pathways of immune cells. Panax polysaccharides have many beneficial therapeutic effects, including enhancing or activating the immune response, and may be helpful in treating cancer, sepsis, osteoporosis, and other conditions. Panax polysaccharides have the potential for use in the development of novel therapeutic agents or adjuvants with beneficial immunomodulatory properties.

A Study on Specification Scheme of PP Security Environment for Government's VPN (국가기관용 VPN의 보호프로파일 보안환경 작성방법에 관한 연구)

  • 이동춘;김점구;김귀남
    • Convergence Security Journal
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    • v.3 no.1
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    • pp.1-6
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    • 2003
  • Virtual Private Network (VPN) is the technology that can reduce the cost revolutionary and maintain the security like an private line, and the demand is increased more and more. Two kinds of current VPN Protection Profiles(PP) for the national organ are used on development, but it is considered by being several problems. In this paper we consider the VPN's PP problems that has been used currently, and describe to an improvement direction.

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Low Non-NMDA Receptor Current Density as Possible Protection Mechanism from Neurotoxicity of Circulating Glutamate on Subfornical Organ Neurons in Rats

  • Chong, Wonee;Kim, Seong Nam;Han, Seong Kyu;Lee, So Yeong;Ryu, Pan Dong
    • The Korean Journal of Physiology and Pharmacology
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    • v.19 no.2
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    • pp.177-181
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    • 2015
  • The subfornical organ (SFO) is one of circumventricular organs characterized by the lack of a normal blood brain barrier. The SFO neurons are exposed to circulating glutamate ($60{\sim}100{\mu}M$), which may cause excitotoxicity in the central nervous system. However, it remains unclear how SFO neurons are protected from excitotoxicity caused by circulating glutamate. In this study, we compared the glutamate-induced whole cell currents in SFO neurons to those in hippocampal CA1 neurons using the patch clamp technique in brain slice. Glutamate ($100{\mu}M$) induced an inward current in both SFO and hippocampal CA1 neurons. The density of glutamate-induced current in SFO neurons was significantly smaller than that in hippocampal CA1 neurons (0.55 vs. 2.07 pA/pF, p<0.05). To further identify the subtype of the glutamate receptors involved, the whole cell currents induced by selective agonists were then compared. The current densities induced by AMPA (0.45 pA/pF) and kainate (0.83 pA/pF), non-NMDA glutamate receptor agonists in SFO neurons were also smaller than those in hippocampal CA1 neurons (2.44 pA/pF for AMPA, p<0.05; 2.34 pA/pF for kainate, p< 0.05). However, the current density by NMDA in SFO neurons was not significantly different from that of hippocampal CA1 neurons (1.58 vs. 1.47 pA/pF, p>0.05). These results demonstrate that glutamate-mediated action through non-NMDA glutamate receptors in SFO neurons is smaller than that of hippocampal CA1 neurons, suggesting a possible protection mechanism from excitotoxicity by circulating glutamate in SFO neurons.

Secondary Neutron Dose in Carbon-ion Radiotherapy: Investigations in QST-NIRS

  • Yonai, Shunsuke;Matsumoto, Shinnosuke
    • Journal of Radiation Protection and Research
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    • v.46 no.2
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    • pp.39-47
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    • 2021
  • Background: The National Institutes for Quantum and Radiological Science and Technology-National Institute of Radiological Sciences (QST-NIRS) has continuously investigated the undesired radiation exposure in ion beam radiotherapy mainly in carbon-ion radiotherapy (CIRT). This review introduces our investigations on the secondary neutron dose in CIRT with the broad and scanning beam methods. Materials and Methods: The neutron ambient dose equivalents in CIRT are evaluated based on rem meter (WENDI-II) measurements. The out-of-field organ doses assuming prostate cancer and pediatric brain tumor treatments are also evaluated through the Monte Carlo simulation. This evaluation of the out-of-field dose includes contributions from secondary neutrons and secondary charged particles. Results and Discussion: The measurements of the neutron ambient dose equivalents at a 90#x00B0; angle to the beam axis in CIRT with the broad beam method show that the neutron dose per treatment dose in CIRT is lower than that in proton radiotherapy (PRT). For the scanning beam with the energy scanning technique, the neutron dose per treatment dose in CIRT is lower than that in PRT. Moreover, the out-of-field organ doses in CIRT decreased with distance to the target and are less than the lower bound in intensity-modulated radiotherapy (IMRT) shown in AAPM TG-158 (American Association of Physicists in Medicine Task Group). Conclusion: The evaluation of the out-of-field doses is important from the viewpoint of secondary cancer risk after radiotherapy. Secondary neutrons are the major source in CIRT, especially in the distant area from the target volume. However, the dose level in CIRT is similar or lower than that in PRT and IMRT, even if the contributions from all radiation species are included in the evaluation.

Successful Treatment of Organ Malperfusion Caused by Acute Aortic Dissection -Report of 4 cases- (급성 대동맥 박리증에 의한 주요 장기 관류 부전의 치험)

  • 유지훈;박계현;박표원;이영탁;전태국;성기익;박준석
    • Journal of Chest Surgery
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    • v.36 no.3
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    • pp.194-201
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    • 2003
  • Malperfusion of major organs which frequently accompanies acute aortic dissection is one of the major causes of death. Malperfusion does not only develop before surgery, but also during or after surgery in various manifestations according to the aortic branches involved. Expeditious diagnostic and therapeutic measures based on high degree of clinical suspicion are mandatory for successful treatment. The authors report four cases of acute aortic dissection accompanied by malperfusion of various organs that were successfully treated.

Evaluation of the Effectiveness of the Shielding Device and the Organ Dose of Subject During Bone Mineral Density (골밀도검사에서 피검자의 장기선량 측정 및 차폐기구의 효용성 평가)

  • Cho, Yong-In;Kim, Jung-Hoon
    • Journal of radiological science and technology
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    • v.43 no.3
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    • pp.187-194
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    • 2020
  • Bone mineral density is a examination to measure the amount of bone in patients with metabolic bone disease. It is a low dose, but may cause unnecessary exposure to the gonads and other organs located in the periphery when examining the lumbar and proximal femurs. Therefore, the purpose of this study was to evaluated the exposure dose for each organ exposed during the bone mineral density through simulation, and analyzed the applicability of the subject to radiation shielding devices using 3D printing materials. As a result, the highest dose was shown at 11.47 uSv in the breast during lumbar examination and 8.98 uSv in the testis during proximal femur examination. Also, the farther away from the examination site, the lower the effect of the scattering-ray. The shielding effect of using 3D printing shielding device showed high results in proportion to the effective atomic number and specific gravity of the printing material. Among the printing materials, ABS + W showed an effect of at least 78.72 to 96.3 9% compared to the existing lead material.