• Title/Summary/Keyword: 검사실

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Asan Medical Center Laboratory Information System (R) Information Communication System for Routine Hematology Using a Down-Sized Computer - (서울중앙병원 임상병리과 정보관리시스템(III))

  • 민원기;최윤미
    • Journal of Biomedical Engineering Research
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    • v.15 no.3
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    • pp.333-340
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    • 1994
  • Laboratory information system (LIS) is a key tool to manage laboratory data in clinical pathology. Our department has developed an information system for routine hematology using down-sized computer system. We have used an IBM 486 compatible PC with 16 MB main memory, 210 MB hard disk drive, 9 RS-232C port and 24 pin dot printer The operating system and database management system were SCO UNIX and SCO foxbase, respectively. For program development, we used Xbase language provided by SCO foxbase. The C language was used for interface purpose. To make the system use friendly, pull-down menu was used. The system connected to our hospital information system via application program interface (API), so the information related to patient and request details is automatically transmitted to our computer. Our system interfaced with two complete blood count analyzers (Sysmex WE-8000 and Coulter STKS) for unidirectional data transmission from analyzer to computer. The authors suggests that this system based on down-sized computer could provide a progressive approach to total LIS based on local area network, and the implemented system could serve as a model for other hospital's LIS for routine hematology.

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Association between False Positive, False Negative, High-Background Cases and Humidity in One Lambda LABTypeTM HLA-DR Typing (One Lambda LABTypeTM을 이용한 HLA- DR Typing시 나타나는 위양성과 위음성, High-Background 사례와 검사실 습도의 관계분석)

  • Hyang Son AN;Minsung SOHN
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.3
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    • pp.132-142
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    • 2023
  • Human leukocyte antigen (HLA) typing was performed in the diagnostic immunology laboratory of the Seoul National University Hospital. Among 611 HLA-DR tests, specific bead reactions suspected of being false positive and false negative in Lot 20 reagents were found. Therefore, we aimed to identify the factors causing cut-off corrections by examining cases where cut-off corrections were not made for 533 test results and cases where cut-off corrections were made for 78 cases after the cut-off corrections of specific beads. Frequency analysis was conducted to verify the demographic characteristics, and descriptive statistics were used to assess the humidity in the laboratory as a variable. Cross-tabulation was done to examine the association between cut-off corrections and demographic characteristics. Independent samples t-tests were conducted to verify the difference in humidity based on cut-off corrections. Finally, logistic regression analysis was conducted to examine the relationship between humidity levels and the rate of cut-off corrections, and results showed as the humidity level in the laboratory highs, the number of cut-off corrections decreased by a factor of 0.986. This suggests cut-off corrections rate increases when the humidity lowers. Therefore, it indicates that humidity in the laboratory is also a factor that affects HLA typing results.

Acoustic Designing of Anechoic & Semi-Anechoic Chamber (무향실.반무향실의 음향설계)

  • 김종철;최순근
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 1990.10a
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    • pp.59-64
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    • 1990
  • 음향측정에 사용되는 무향실은 각종 정밀측정을 하는데 기본적인 중요설비 로 소리의 환경을 인위적으로 만든 설비이다. 무향실은 자유음장을 형성하는 실로 실내 모든면에서 음을 완전히 흡수하여 "음의 반사가 없는 실"을 말하 며, 실제 주변환경에서는 찾아보기 힘든 일이다. 이전에는 주로 Speaker나 Microphone등의 지향특성 및 교정에만 국한되어 사용했지만 현재 각종 기계 류의 방사 Power측정, 측정실내의 객관적인 교정검사, 기자재의 객관적인 음 향측정 데이터 비교평가등 무향실을 이용한 음향분석연구가 각 분야에서 광 범위하게 이용되어지고 있다.이용되어지고 있다.

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The Pathology of Infection in the Department of Radiology (영상의학과 검사실의 감염 실태)

  • Shin, Seong-Gyu;Lee, Hyo-Yeong
    • Journal of radiological science and technology
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    • v.35 no.3
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    • pp.211-218
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    • 2012
  • This study was performed to understand the bacteriologic contamination level of radiological equipments which have frequent contacts with patients in the Department of Radiology of an university hospital in Busan area. Before sterilizing in-patient of the radiology rooms, MRSA, VRE, acinetobacter baumannii, candida albicans, and enterococcus sp. were detected. After sterilization, all the bacteria were not found. As examine times become longer, more bacteria were detected and after 7 hours, bacillus sp.(GPR), CNS, acinetobacter baumannii, and Enterococcus sp. were detected. After examining infected patients, bacillus sp.(GPR), VRE, enterococcus sp. CNS, and micrococcus sp. were detected and on the hands of radiological technologists, CNS, enterococcus sp. escherichia coli, and enterobacter sp. were detected. Similar species of bacteria were detected from each radiology room, but pseudomonas aeruginosa was detected on the handles of portable radiological equipments and the chair in the waiting room. Therefore, it is the most important to regularly sterilize radiological equipments and devices which have frequent contacts with patients and to sterilize them right after the use of infected patients in order to prevent the spread of infection. Also, thorough hand washing, education on infection and management for the characteristics of Department of Radiology should be performed for the systematic prevention of infection.

A Study on the Distribution of Scatter Ray in Chest Radiography of a Health Examination Bus (건강검진 차량 내 흉부 방사선검사 시 공간산란선 분포 연구)

  • Cho, Ji-Hwan;Jin, Seong-jin;Min, Byeong-In
    • Journal of radiological science and technology
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    • v.40 no.3
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    • pp.377-383
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    • 2017
  • The purpose of this study was to evaluate the distribution of spatial scatter ray on the chest radiographs of patients on health examination bus. In this paper, we propose a method for minimize unnecessary exposure by measuring the scattered dose after exposure the actual subject and comparing the body mass index (BMI) with the tube current amount mAs. The results of this study showed that the mean BMI of the subjects was $23.31{\pm}3.12$. The mean mAs value was $2.92{\pm}1.19$, which males was higher than females. The mean value of the scatter ray at position 1 in the radiography room was $771.81{\pm}151.15{\mu}Sv/hr$. The mean value of the scatter rays at the position 2 outside the entrance of the radiography room was measured as $53.86{\pm}25.66{\mu}Sv/hr$. As the BMI and mAs was increase the spatial scatter dose was increased at position 1 and position 2 in the photographing room. In order to minimize the exposure dose of scatter ray, radiation workers should shoot the radiation as low as possible within the range that does not impair the quality of the image. It will be necessary to make efforts to not wait for a waiting person near the entrance door of the photographing room.

Expert Opinion Questionnaire About Chest CT Scan Using A Negative Pressure Isolation Strecher in COVID-19 Patients: Image Quality and Infection Risk (COVID-19 환자에서 음압격리들것을 이용한 흉부 CT 검사에 대한 전문가 의견 설문: 영상품질과 감염위험)

  • Kwang Nam Jin;Bo Da Nam;Jaemin Shin;Sung Ho Hwang
    • Journal of the Korean Society of Radiology
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    • v.84 no.4
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    • pp.891-899
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    • 2023
  • Purpose To survey perceptions of certified physicians on the protocol of chest CT in patients with coronavirus (COVID-19) using a negative pressure isolation stretcher (NPIS). Materials and Methods This study collected questionnaire responses from a total of 27 certified physicians who had previously performed chest CT with NPIS in COVID-19 isolation hospitals. Results The nine surveyed hospitals performed an average of 116 chest CT examinations with NPIS each year. Of these, an average of 24 cases (21%) were contrast chest CT. Of the 9 pulmonologists we surveyed, 5 (56%) agreed that patients who showed abnormalities in serum D-dimer required contrast chest CT. All 9 surveyed radiologists agreed that the image quality of the chest CT with NPIS was sufficient for CT image interpretation regarding pneumonia or pulmonary embolism. Furthermore, in our 9 surveyed infectionologists, 5 (56%) agreed that a risk of secondary infection in the CT room after temporary opening of NPIS could be prevented through a process of disinfection. Conclusion Experienced physicians considered that the effects of NIPS on chest CT image quality was minimal in patients with COVID-19, and the risk of CT room contamination was easily controlled.

Application of Patient-based Real-time Quality Control (환자 기반 실시간 정도관리의 적용)

  • Seung Mo LEE;Kyung-A SHIN
    • Korean Journal of Clinical Laboratory Science
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    • v.56 no.2
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    • pp.105-114
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    • 2024
  • Clinical laboratories endeavor to secure quality by establishing effective quality management systems. However, laboratory environments are complex, and single quality control procedures may inadequately detect many errors. Patient-based real-time quality control (PBRTQC) is a laboratory tool that monitors the testing process using algorithms such as Bull's algorithm and several variables, such as average of normal, moving median, moving average, and exponentially weighted moving average. PBRTQC has many advantages over conventional quality control, including low cost, commutability, continuous real-time performance monitoring, and sensitivity to pre-analytical errors. However, PBRTQC is not easily implemented as it requires statistical algorithm selection, the design of appropriate rules and protocols, and performance verification. This review describes the basic concepts, methods, and procedures of PBRTQC and presents guidelines for implementing a patient-based quality management system. Furthermore, we propose the combined use of PBRTQC when the performance of internal quality control is limited. However, clinical evaluations were not conducted during this review, and thus, future evaluation is required.

The Study for Radio Protection According to a Possible Danger of Exposure During dental X-ray Examination (치과 방사선 검사 시 노출 위험성에 따른 피폭선량 방어연구)

  • Lim, Cheong-Hwan;Kim, Seung-Chul;Jung, Hong-Ryang;Hong, Dong-Hee;You, In-Gyu;Jeong, Cheon-Soo
    • Journal of the Korean Society of Radiology
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    • v.5 no.5
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    • pp.237-244
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    • 2011
  • Generally, X-ray examinations for dentistry use low energy radiation. It explains that the radiations are mainly absorbed to a human body because of the weak permeability. We made up some counterplans for decrease in radiation exposure, when guardians and radiologists are overexposed owing to unavoidable circumstances. The equipments for the test are GX-770 and CRANEX TOME CEPH which are used for various exams. Besides we measured the radiations in the projection room and in the control room using model 2026c and 20X6-1800. According to the test, the measurement value in the control room was low dose below $20{\mu}R$, the maximum dose in the projection room was $702.8{\mu}R$ and the measurement value of back dose was higher than lateral one. As the result, if we use a shielding door, it's effective for radioprotection and when we didn't prepare protectors, we should secure appropriate distance and be situated at the side area($90{\sim}135^{\circ}$) on the basis of centeral radiation. That way will provide valuable aid for radioprotection.