P . 22 : 고 콜레스테롤 식이를 섭취한 흰쥐에 있어서 어유의 지질 개선 효과

염미숙,이용욱 대한보건협회 1994 대한보건협회 보건종합학술대회 Vol.- No.-

유방암 접선조사에서 PBC 알고리즘과 AAA에 따른 Field-in-Field Intensity Modulated Radiation Therapy와 Conventional Radiation Therapy 전산화 치료계획에 대한 고찰

염미숙,배성수,김대섭,백금문,Yeom, Mi-Suk,Bae, Seong-Soo,Kim, Dae-Sup,Back, Geum-Mun 대한방사선치료학회 2012 대한방사선치료학회지 Vol.24 No.1

목 적: Anisotropic Analytical Algorithm (AAA)는 Pencil Beam Convolution (PBC) 알고리즘에 비하여 2차선과 조직 불 균질에 대한 영향에 보다 더 정확한 선량계산을 제공한다. 본 연구는 유방암 접선조사 치료계획에서 PBC 알고리즘과 AAA의 선량계산 알고리즘에 따른 선량분포의 차이를 분석하고자 한다. 대상 및 방법: 선형가속기(CL-6EX, VARIAN, USA)의 6 MV 에너지를 이용한 유방암 환자 10명을 대상으로 Eclipse treatment planning system (Version 8.9, VARIAN, USA)을 사용하여 전산화 치료계획을 수립하였다. Conventional Radiation Therapy plan(Conventional plan)과 Field-in-Field Intensity Modulated Radiation Therapy plan (FiF plan)을 PBC 알고리즘을 이용하여 치료계획을 수립한 후 Monitor Unit (MU)를 고정시키고 AAA로 변경하여 선량계산하고, Dose Volume Histogram (DVH)을 이용하여 치료계획을 비교 분석하였다. 결 과: 첫 번째, Conventional plan의 PBC 알고리즘과 AAA에 따른 차이를 평가한 결과 치료용적에 대한 평균 Conformity Index (CI) 값의 차이는 PBC 알고리즘에서 0.295 높게 평가 되었다. 동측 폐에 대한 선량을 평가한 결과 $V_{47Gy}$과 $V_{45Gy}$는 PBC알고리즘에서 각각 5.83%, 4.04% 높게 평가되었고, Mean dose, $V_{20Gy}$, $V_{5Gy}$, $V_{3Gy}$는 AAA에서 각각 0.6%, 0.29%, 6.35%, 10.23%높게 평가되었다. 두 번째, FiF plan의 경우 치료용적에 대한 평균 CI 값의 차이는 PBC 알고리즘에서 0.165 높게 평가 되었고, 동측 폐에 대한 선량은 $V_{47Gy}$, $V_{45Gy}$, Mean dose는 PBC 알고리즘에서 각각 6.17%, 3.80%, 0.15% 높게 평가되었고, $V_{20Gy}$, $V_{5Gy}$, $V_{3Gy}$는 AAA에서 각각 0.14%, 4.07%, 4.35% 높게 평가되었다. 결 론: 유방암 접선조사에서 AAA로 계산했을 때, PBC 알고리즘에 비해 치료용적에 대한 Conformity가 Conventional plan, FiF plan 각각 0.295, 0.165 낮게 평가 되며, 동측 폐의 고 선량 영역의 선량은 적게 나타나며, 저 선량 영역의 선량은 많게 나타므로 폐에 대한 선량을 평가하는 데 선량계산 알고리즘에 따른 특징을 고려해야 할 것으로 사료된다. Purpose: Anisotropic Analytical Algorithm (AAA) provides more accurate dose calculation regarding impact on scatter and tissue inhomogeneity in comparison to Pencil Beam Convolution (PBC) algorithm. This study tries to analyze the difference of dose distribution according to PBC algorithm and dose calculation algorithm of AAA on breast cancer tangential plan. Materials and Methods: Computerized medical care plan using Eclipse treatment planning system (version 8.9, VARIAN, USA) has been established for the 10 breast cancer patients using 6 MV energy of Linac (CL-6EX, VARIAN, USA). After treatment plan of Conventional Radiation Therapy plan (Conventional plan) and Field-in-Field Intensity Modulated Radiation Therapy plan (FiF plan) using PBC algorithm has been established, MU has been fixed, implemented dose calculation after changing it to AAA, and compared and analyzed treatment plan using Dose Volume Histogram (DVH). Results: Firstly, as a result of evaluating PBC algorithm of Conventional plan and the difference according to AAA, the average difference of CI value on target volume has been highly estimated by 0.295 on PBC algorithm and as a result of evaluating dose of lung, $V_{47Gy}$ and $V_{45Gy}$ has been highly evaluated by 5.83% and 4.04% each, Mean dose, $V_{20Gy}$, $V_{5Gy}$, $V_{3Gy}$ has been highly evaluated 0.6%, 0.29%, 6.35%, 10.23% each on AAA. Secondly, in case of FiF plan, the average difference of CI value on target volume has been highly evaluated on PBC algorithm by 0.165, and dose on ipsilateral lung, $V_{47Gy}$, $V_{45Gy}$, Mean dose has been highly evaluated 6.17%, 3.80%, 0.15% each on PBC algorithm, $V_{20Gy}$, $V_{5Gy}$, $V_{3Gy}$ has been highly evaluated 0.14%, 4.07%, 4.35% each on AAA. Conclusion: When calculating with AAA on breast cancer tangential plan, compared to PBC algorithm, Conformity on target volume of Conventional plan, FiF plan has been less evaluated by 0.295, 0.165 each. For the reason that dose of high dose region of ipsilateral lung has been showed little amount, and dose of low dose region has been showed much amount, features according to dose calculation algorithm need to be considered when we evaluate dose for the lungs.

평생교육 서비스 품질이 노인의 성공적인 노화에 미치는 영향

염미숙,방원석,정찬효 한국인터넷전자상거래학회 2022 인터넷전자상거래연구 Vol.22 No.4

This paper examines the relationships between lifelong education service quality, education satisfaction, self-efficacy, and successful aging of the elderly in lifelong education facilities for the elderly, and to suggest implications. To achieve the purpose of this paper, a survey was conducted on the elderly who had experience participating in lifelong education facilities in Busan and Gyeongnam, and 276 cases were used for the final survey analysis. Reliability and validity of the collected data were reviewed, and hypotheses were verified through structural equation modeling. As a result of the study, first, it was confirmed that the tangible, reliability sub-factors of lifelong education service quality, except for empathy, had a positive effect on the educational satisfaction of the participating elderly, respectively. Second, educational satisfaction has the significant positive effect on self-efficacy and successful aging, respectively. Third, self-efficacy also has a significant positive effect on successful aging. Based on these research results, the importance of quality of lifelong education service is suggested in the successful aging of the elderly, and it is required necessary that the elderly need to have the provision of opportunities for lifelong education programs considering the various needs of the elderly such as psychological factors.

북두칠성이 따라온 길

염미숙 수필미학 2023 수필미학 Vol.41 No.-

다중표적 간암의 정위적체부방사선치료에서 무편평화여과기선질 용적변조회전치료의 유용성 평가

염미숙,윤인하,홍동기,백금문,Yeom, Misuk,Yoon, Inha,Hong, Donggi,Back, Geummun 대한방사선치료학회 2015 대한방사선치료학회지 Vol.27 No.1

목 적 : 정위적체부방사선치료(Stereotatic body radiation therapy, SBRT)는 원발성 종양과 전이성 종양의 치료법으로 이용되어진다. SBRT는 높은 선량을 전달하기 때문에 MU(Monitor unit)의 증가로 치료시간이 길어지고 치료계획용적(Planning Target Volume, PTV) 주변의 정상장기를 효과적으로 보호할 수 있는 치료계획이 필요하다. 특히 다중표적의 경우 SBRT를 여러 번에 나누어 치료해야하거나 선량 겹침으로 인한 고 선량 영역(Hot spot)이 생길수도 있다. 본 연구는 다중표적 간암에서 TrueBeam STx(Varian, USA)의 무편평화여과기선질(Flattening filter free, FFF) beam을 이용한 용적변조회전치료(Volumetric modulated arc therapy, VMAT)의 유용성을 평가하고자 한다. 대상 및 방법 : 다중표적 간암의 SBRT를 시행하는 5명의 환자를 대상으로 TrueBeam STx의 10MV FFF beam을 이용한 VMAT과 15MV 편평화여과기선질(Flattening filter, FF) beam을 이용한 입체조형치료(conformal radiotherapy, CRT)계획을 세웠다. 두 치료계획을 비교하기 위하여 선량용적히스토그램(Dose Volume Histogram, DVH)을 이용하여 치료계획용적(Planning Target Volume, PTV), 간, 십이지장, 장, 식도, 척수에 들어가는 선량을 평가하고 전체 MU 값을 비교하였다. 또한 두 치료계획의 치료시간을 비교하기 위하여 Beam on time을 평가하였다. 결 과 : PTV에 대한 처방선량지수(Conformity Index, CI), 선량균질지수(Homogeneity index, HI), 처방선량포함지수(Paddick's Conformity Index, PCI)의 평균값은 VMAT에서 각각 $1.006{\pm}0.028$, $1.098{\pm}0.016$, $1.132{\pm}0.084$, CRT에서 $1.381{\pm}0.419$ $1.136{\pm}0.042$, $1.534{\pm}0.465$로 평가되었다. 정상장기에 대한 선량은 CRT에서 VMAT 보다 약 1.8배 높은 선량으로 평가되었다. 전체 MU값은 VMAT에서 약 1.3배 높게 평가되었고 VMAT과 CRT 두 치료계획의 평균 Beam on time은 각각 6.8분, 21.3분으로 평가되었다. 결 론 : 다중표적 간암의 정위적체부방사선치료에서 FFF Beam을 이용한 VMAT을 적용하면 선량 겹침 없이 다중표적을 한 번에 치료할 수 있으며 PTV의 선량포함을 만족하면서 주위의 정상장기를 더 효과적으로 보호할 수 있는 치료계획이 가능하다. 또한 FFF Beam의 높은 선량률(Dose rate)을 이용하여 치료시간을 단축시켜 치료 중 발생할 수 있는 오차를 감소시킬 수 있다. Purpose : Stereotactic body radiation therapy (SBRT) has proved its efficacy in several patient populations with primary and metastatic limited tumors. Because SBRT prescription is high dose level than Conventional radiation therapy. SBRT plan is necessary for effective Organ at risk (OAR) protection and sufficient Planning target volume (PTV) dose coverage. In particular, multi-target cases may result excessive doses to OAR and hot spot due to dose overlap. This study evaluate usefulness of Volumetric modulated arc therapy (VMAT) in dosimetric and technical considerations using Flattening filter free (FFF) beam. Materials and Methods : The treatment plans for five patients, being treated on TrueBeam STx(Varian$^{TM}$, USA) with VMAT using 10MV FFF beam and Standard conformal radiotherapy (CRT) using 15MV Flattening filter (FF) beam. PTV, liver, duodenum, bowel, spinal cord, esophagus, stomach dose were evaluated using the dose volume histogram(DVH). Conformity index(CI), homogeneity index(HI), Paddick's index(PCI) for the PTV was assessed. Total Monitor unit (MU) and beam on time was assessed. Results : Average value of CI, HI and PCI for PTV was $1.381{\pm}0.028$, $1.096{\pm}0.016$, $0.944{\pm}0.473$ in VMAT and $1.381{\pm}0.042$, $1.136{\pm}0.042$, $1.534{\pm}0.465$ in CRT respectively. OAR dose in CRT plans evaluated 1.8 times higher than VMAT. Total MU in VMAT evaluated 1.3 times increase than CRT. Average beam on time was 6.8 minute in VMAT and 21.3 minute in CRT. Conclusion : VMAT for SBRT in multi-target liver cancer using FFF beam is effective treatment techniqe in dosimetric and technical considerations. VMAT decrease intra-fraction error due to treatment time shortening using high dose rate of FFF beam.

비소세포 폐암의 제한된 각도를 이용한 세기변조와 용적변조회전 방사선치료계획의 폐 선량에 관한 연구

염미숙,이우석,김대섭,백금문,Yeom, Misuk,Lee, Woosuk,Kim, Daesup,Back, Geummun 대한방사선치료학회 2014 대한방사선치료학회지 Vol.26 No.1

목 적 : 비소세포 폐암의 치료용적의 크기가 크거나 폐 용적이 작고, 몸의 정중선(Mid line)에 위치한 경우 척수의 허용선량을 고려한 방사선치료계획에서 폐 선량이 많아지게 되는데, 본 연구는 비소세포 폐암 환자의 3차원입체조형치료(Three dimensional conformal radiotherapy, 3D CRT), 제한된 각도를 이용한 세기변조방사선치료(Intensity modulated radiotherapy, IMRT)와 용적변조회전치료(Volumetric Modulated Arc therapy, VMAT) 치료계획을 각각 적용하여 전체 폐 선량을 비교 및 평가하고자 한다. 대상 및 방법 : TrueBeam STx($Varian^{TM}$, USA) 10 MV 에너지를 이용하여 4명의 환자에 대하여 3D CRT, 제한된 각도를 이용한 IMRT와 VMAT 치료계획을 세우고, 총 선량 66 Gy/30 Fx 처방하였을 때, 선량용적히스토그램(Dose Volume Histogram, DVH)을 이용하여 치료계획용적(Planning Target Volume, PTV), 전체 폐 그리고 척수에 들어가는 선량을 평가하였다. PTV에 대한 처방선량지수(Conformity Index, CI), 선량균질지수(Homogeneity index, HI), 처방선량포함지수(Paddick's Conformity Index, PCI)를 구하고, 폐의 30 Gy 용적($V_{30}$), $V_{20}$, $V_{10}$, $V_5$, 평균선량(Mean dose)을 평가하고, 척수의 최대선량 값을 평가하였다. 결 과 : PTV에 대한 CI, HI, PCI의 평균값은 각각 $0.944{\pm}0.009$, $1.106{\pm}0.027$, $1.084{\pm}0.016$으로 평가되었다. 전체 폐에 대한 첫 번째 환자의 $V_{20}$은 3D CRT, IMRT, VMAT 각각 30.7%, 20.2%. 21.2%, 두 번째 환자의 $V_{20}$은 33.0%, 29.2%. 31.5%, 세 번째 환자의 $V_{20}$은 51.3%, 34.3%. 36.9%, 네 번째 환자의 $V_{20}$은 56.9%, 33.7%. 40%로 제한된 각도를 이용한 IMRT 치료계획에서 가장 낮게 평가되었다. 척수에 대한 최대선량 값은 모두 허용선량 미만으로 평가되었다. 결 론 : 비소세포 폐암의 방사선치료계획에서 3D CRT와 비교했을 때, 제한된 각도를 이용한 IMRT나 VAMT을 이용하면 척수의 허용선량을 넘지 않으면서 폐 선량을 줄여줄 수 있는 치료계획을 세울 수 있었다. IMRT와 VAMT을 비교해보면 PTV의 선량포함과 척수선량을 고려했을 때 IMRT 치료계획에서 보다 좁은 각도를 이용한 치료계획이 가능하였고, 이는 폐 선량을 좀 더 줄여줄 수 있는 결과를 얻을 수 있었다. Purpose : For non-small cell lung cancer, if the treatment volume is large or the total lung volume is small, and the tumor is located in midline of patient's body, total lung dose tends to increase due to tolerance dose of spinal cord. The purpose of this study is to compare and evaluate the total lung dose of three dimensional conformal radiotherapy(3D CRT), intensity modulated radiotherapy(IMRT) and volumetric modulated arc therapy(VMAT) using restricted angle for non-small cell lung cancer patients. Materials and Methods : The treatment plans for four patients, being treated on TrueBeam STx($Varian^{TM}$, USA) with 10 MV and prescribed dose of 60 Gy in 30 fractions, 3D CRT, restricted angle IMRT and VAMT radiotherapy plans were established. Planning target volume(PTV), dose to total lung and spinal cord were evaluated using the dose volume histogram(DVH). Conformity index(CI), homogeneity index(HI), Paddick's index(PCI) for the PTV, $V_{30}$, $V_{20}$, $V_{10}$, $V_5$, mean dose for total lung and maximum dose for spinal cord was assessed. Results : Average value of CI, HI and PCI for PTV was $0.944{\pm}0.009$, $1.106{\pm}0.027$, $1.084{\pm}0.016$ respectively. $V_{20}$ values from 3D CRT, IMRT and VMAT plans were 30.7%, 20.2% and 21.2% for the first patient, 33.0%, 29.2% and 31.5% for second patient, 51.3%, 34.3% and 36.9% for third patient, finally 56.9%, 33.7% and 40.0% for the last patient. It was noticed that the $V_{20}$ was lowest in the IMRT plan using restricted angle. Maximum dose for spinal cord was evaluated to lower than the tolerance dose. Conclusion : For non-small cell lung cancer, IMRT with restricted angle or VMAT could minimize the lung dose and lower the dose to spinal cord below the tolerance level. Considering PTV coverage and tolerance dose to spinal cord, it was possible to obtain IMRT plan with smaller angle and this could result in lower dose to lung when compared to VMAT.

양파껍질 분말의 첨가가 쿠키의 품질 특성, 항산화 활성 및 아크릴아마이드 형성에 미치는 영향

염미숙,황은선 한국식품저장유통학회 2020 한국식품저장유통학회지 Vol.27 No.3

This study was conducted to investigate the quality characteristics, antioxidant activities and levels of acrylamide formation in cookies containing different amounts of onion peel powder. Onion peel powder was incorporated into the cookies at a level of 2–6% based on the total weight of wheat flour. The contents of moisture, ash, crude protein, total polyphenols, total flavonoids, and acrylamide content of cookies were determined, in addition to their antioxidant activities, pH values, loss rates, spread ratios, color, and texture. Upon increasing the amount of onion peel powder, the moisture and ash contents of the cookies increased, wheareas the pH, loss rate and spread ratio of the cookies decreased. In terms of the chromatic analysis, the L and b values decreased, while the a values increased as the amount of added onion peel powder increased. Furthermore, the total polyphenol and total flavonoid contents increased, while the antioxidant activities were significantly higher than that of the control, increasing proportionally with the concentration of onion peel powder. Moreover, the acrylamide contents of the cookies decreased slightly upon increasing the amount of added onion peel powder, with 6% onion peel powder being particularly effective in inhibiting acrylamide formation. These results suggest that the addition of onion peel powder to cookies will increase the value of cookies by enhancing their antioxidant activities and decreasing acrylamide formation.

Effects of storage temperature on the bioactive compound content and antioxidant activity of aronia (Aronia melanocarpa) fruit

황은선,염미숙 한국식품저장유통학회 2019 한국식품저장유통학회지 Vol.26 No.5

The fruit of aronia (Aronia melanocarpa, also called the “black chokeberry), which is rich in anthocyanin, polyphenol, and flavonoid content and possesses antioxidant, anticancerous, and anti-inflammatory properties. In this study, the influence of storage temperature and storage period on the phytochemical content and antioxidant activity of aronia was determined. The total polyphenol and flavonoid contents of aronia extract were found to be 308.48 μg gallic acid equivalent/g dry weight and 5.33 μg quercetin equivalent/g dry weight, respectively. HPLC analysis of aronia reveled four anthocyanin peaks corresponding to cyanidin-3-O-galactoside, cyanidin-3-O-glucoside, cyanidin- 3-O-arabinose, and cyanidin-3-O-xylose and three polyphenol peaks corresponding to chlorogenic acid, vanillic acid, and rutin hydrate. Long-term storage at a refrigerated temperature (4℃) reduced the levels the levels of health promoting compounds. We found that the highest amounts of total polyphenols, flavonoids, and anthocyanins were retained in aronia samples stored at -80℃ followed by those stored at -20℃ and 4℃ samples. Furthermore, the samples stored at -80℃ showed the stronger antioxidant activities than those stored at other temperatures. Based on these findings, we concluded that freezing aronia at -80℃ can help preserve its antioxidant activity by maintaining high levels of anthocyanins and other bioactive compounds.

유통 한약재 초과(草果) 중 벤조피렌 오염실태 조사

황경화,염미숙,이희정,조아름,최은정,허명제,권문주 한국생약학회 2020 생약학회지 Vol.51 No.2

Amomum Tsao-ko used as a traditional oriental herbal medicine, is indigenous to several Asia countries. This study was carried out to investigate the contamination by Benzo(a)pyrene in Amomum Tsao-ko Fruit of Medicinal Herbs. 20 samples of Amomum Tsao-ko Fruit were evaluated for the Benzo(a)pyrene contamination. They were analyzed for Benzo(a)pyrene using high-performance liquid chromatogrphy(HPLC)-fluorescence detection and the positive samples were confirmed using gas chromatography tandem mass spectrometry. The levels of Benzo(a)pyrene were from 9.2 to 95.5 μg/kg and the average was 40.6 μg/kg. There are no Benzo(a)pyrene standards for Amomum Tsao-ko Fruit of Medicinal Herbs. These data will be used as a basic data for the future legislation on the regulation and control of benzo(a)pyrene of Amomum Tsao-ko Fruit of Medicinal Herbs.

Investigation of synthetic compounds in commercially available peeled root vegetable products

권성희,염미숙,박병규,한세연,강민정,주광식,허명제,권문주 한국식품저장유통학회 2022 한국식품저장유통학회지 Vol.29 No.4

The browning of peeled root vegetables causes a major deterioration in the quality of the products, which significantly affects consumer purchasing behavior decisions and is a major cause of disposal during distribution. Sulfate and chlorine dioxide are representative additives used in commercially available peeled root vegetables. Therefore, this study investigated residual concentration of subchlorite ions and chlorate ions, which were the decomposition products of sulfur dioxide and chlorine compounds used for antioxidants, preservatives, and bleach in peeled root vegetables distributed online and offline. As a result of the survey, in 12 of 67 cases, sulfur dioxide was detected below the available standards. Through this survey, the content of synthetic ingredients can be estimated and used as a foundation for material development to suppress browning in the future.