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Evaluation of nutrient intake and diet quality of gastric cancer patients in Korea
Heesook Lim,Gyuseok Cho,Soonkyung Kim 대한지역사회영양학회 2012 Nutrition Research and Practice Vol.6 No.3
This study was conducted to identify dietary factors that may affect the occurrence of gastric cancer in Koreans. Preoperative daily nutrition intake and diet quality of patients diagnosed with gastric cancer were evaluated. Collected data were comparatively analyzed by gender. The results were then used to prepare basic materials to aid in the creation of a desirable postoperative nutrition management program. The subjects of this study were 812 patients (562 men and 250 women) who were diagnosed with gastric cancer and admitted for surgery at Soonchunhyang University Hospital between January 2003 and December 2010. Nutrition intake and diet quality were evaluated by the 24-hr recall method, the nutrient adequacy ratio, mean adequacy ratio (MAR), nutrient density (ND), index of nutritional quality (INQ), dietary variety score (DVS), and dietary diversity score (DDS). The rate of skipping meals and eating fast, alcohol consumption, and smoking were significantly higher in males than those in females. The levels of energy, protein, fat, carbohydrate, phosphorous, sodium, potassium, vitamin B1, vitamin B2, niacin, and cholesterol consumption were significantly higher in males than those in females. Intake of fiber, zinc, vitamin A, retinol, carotene, folic acid were significantly higher in females than those in males. MAR in males was significantly higher (0.83) than that in females (0.79). INQ values were higher in females for zinc, vitamin A, vitamin B2, vitamin B6, and folic acid than those in males. The average DVS was 17.63 for females and 13.19 for males. The average DDS was 3.68 and the male’s average score was 3.44, whereas the female’s average score was 3.92. In conclusion, males had more dietary habit problems and poor nutritional balance than those of females. Our findings suggest that proper nutritional management and adequate dietary education for the primary prevention of gastric cancer should be emphasized in men.
Yongkeun Song,Seunguk Heo,Gyuseok Cho,Sanghyun Choi,Moojae Han,Jikoon Park 한국방사선학회 2017 한국방사선학회 논문지 Vol.11 No.6
꿈의 암치료기라고 불리는 중입자 치료는 환자의 암세포에 입사하여 암세포만을 사멸하고 사라지는데 이때 중성자 및 감마선이 발생되어 치료실 내 영상장비, 그 밖의 전자장비에 영향을 미치게 된다. 중입자 치료시설을 구축하기 위해서는 약 2,000억 원 가량의 예산이 필요하며 구축기간도 5년 이상 소요된다. 따 라서 구축 전 몬테카를로 시뮬레이션을 이용하여 치료실 내 선량 분포에 대해 관찰하여 적절한 대비를 하 는 것이 중요하다. 본 연구에서는 몬테카를로 시뮬레이션 툴인 FLUKA를 이용하여 중입자 치료 시 치료실 내 선량분포에 대해 알아보았으며 1분 치료 시 치료실 내에는 약 0.1 mSv에서 2 pSv 정도의 영향이 있을 것으로 파악되었다. The purpose of this study was to comparison of measure signal to noise ratio (SNR) according to change of kernel size from region of interest (ROI) of heart shadow in chest image. We examined images of chest image of 100 patients in a University-affiliated hospital, Seoul, Korea. Chest images of each patient were calculated by using ImageJ. We have analysis socio-demographical variables, SNR according to images, 95% confidence according to SNR of difference in a mean of SNR. Differences of SNR among change of equalization were tested by SPSS Statistics21 ANOVA test for there was statistical significance 95%(p<0.05). In SNR results, with the quality of distributions in the order of kernel size 9*9 image, kernel size 7*7 image and original chest image, kernel size 3*3 image (p<0.001). In conclusion, this study would be that quantitative evaluation of heart shadow on chest image can be used as an adjunct to the kernel size chest image.
몬테카를로 시뮬레이션을 이용한 차폐 및 방사화 계산에서 기하학적 모델링의 차이에 따른 결과 연구
허승욱(Seunguk Heo),송용근(Yongkeun Song),조규석(Gyuseok Cho),한무재(Moojae Han),박지군(Jikoon Park) 한국방사선학회 2017 한국방사선학회 논문지 Vol.11 No.6
방사선의 치료효과 증대를 위해 최근에는 기존의 Photon치료를 대체한 중입자치료가 증가하고 있다. 중입자 치료는 기존 Photon치료 대비 높은 에너지와 거대한 시설로 인해 방사선안전성평가에 더욱 신경을 써야 한다. 이러한 방사선안전성평가는 주로 Monte Carlo simulation을 이용하여 차폐 및 방사화 평가를 수행 하는데, 가장 우선적으로 수행해야하는 것은 기하학적 모델링이다. 중입자 치료시설은 가속장치를 싱크로 트론을 사용하게 되는데 정확한 기하학적 모델링이 어려워 대부분 간략하게 모델링 한다. 본 연구는 싱크 로트론 가속장치의 구성요소 중에서 Dipole magnet을 간략화 한 것과 정밀하게 구현한 것이 방사선안전성 평가에 어떠한 영향을 미치는지 알아보았다. 결과에 의하면 간략하게 구현한 기하학적 모델이 정밀하게 구현된 기하학적 모델보다 과대평과 되는 결과를 얻었다. 따라서 방사선안전성 평가는 정밀한 기하하적 모델 링이 더욱 신뢰할 수 있는 결과를 얻는다고 판단된다. In order to increase the therapeutic effect of radiation, there has been an increase in the use of conventional photon therapy. The intensive care unit should pay more attention to the radiation safety evaluation due to the higher energy and the larger facility compared to the existing Photon treatment. These radiation safety evaluations are mainly performed by using Monte Carlo simulation, and the first thing to be done is geometric modeling. The Heavy-ion treatment facility uses synchrotron as the accelerating device, which is difficult to precisely model geometrically and is mostly modeled briefly. This study investigated the effect of simplification and precise implementation of Dipole magnet among the components of synchrotron acceleration device on the radiation safety evaluation. The results show that the simplified geometric model is overestimated with the precisely implemented geometric model. Therefore, it is considered that the radiological safety evaluation results in more reliable results of the precise geometric modeling.
몬테카를로 시뮬레이션을 이용한 중입자 치료실의 선량분포 추정
송용근(Yongkeun Song),허승욱(Seunguk Heo),조규석(Gyuseok Cho),최상현(Sanghyun Choi),한무재(Moojae Han),박지군(Jikoon Park) 한국방사선학회 2017 한국방사선학회 논문지 Vol.11 No.6
꿈의 암치료기라고 불리는 중입자 치료는 환자의 암세포에 입사하여 암세포만을 사멸하고 사라지는데 이때 중성자 및 감마선이 발생되어 치료실 내 영상장비, 그 밖의 전자장비에 영향을 미치게 된다. 중입자 치료시설을 구축하기 위해서는 약 2,000억 원 가량의 예산이 필요하며 구축기간도 5년 이상 소요된다. 따라서 구축 전 몬테카를로 시뮬레이션을 이용하여 치료실 내 선량 분포에 대해 관찰하여 적절한 대비를 하는 것이 중요하다. 본 연구에서는 몬테카를로 시뮬레이션 툴인 FLUKA를 이용하여 중입자 치료 시 치료실내 선량분포에 대해 알아보았으며 1분 치료 시 치료실 내에는 약 0.1 mSv에서 2 pSv 정도의 영향이 있을 것으로 파악되었다. Heavy ion therapy has a high cure rate for cancer cell. So many countries are introducing heavy ion therapy facility. When treating a cancer using heavy ion therapy, neutrons and gamma rays are generated and affect electronic equipment. A budget of about KRW 200 billion is needed to build a heavy ion therapy facility, and it takes more than five years to build it. Therefore it is important to observe the dose distribution in the treatment room using the monte carlo simulation before construction. In this study, we used the FLUKA of monte carlo simulation to investigate the dose distribution in the heavy ion treatment room.
최병옥 ( Byungok Choi ),여승호 ( Seungho Yeo ),조준배 ( Junbae Cho ),김근량 ( Geunryang Kim ),김신혜 ( Shinhye Kim ),성규석 ( Gyuseok Sung ) 국군의무사령부 2022 대한군진의학학술지 Vol.53 No.1
Objective: Proposal of the optimal organizational model for the operation of aero medical evacuation force response to future environmental changes. Method: Based on literature study, analysis of mission performance evaluation results, and comparative analysis of similar private organizations, organization development techniques are applied to derive research results. Results: In order to improve the organizational model of the aero medical evacuation force, evacuation policies, education, training, equipment introduction, maintenance, and manpower management must be integrated and processed. Therefore, there is a need for an independent organization specialized in medical evacuation with a legal basis. Conclusion: In requires an independent organization with expertise and integrity to adapt to future environmental changes.