• Title/Summary/Keyword: 검사 제도

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Analysis on the Entrance Surface Dose and Contrast Medium Dose at Computed Tomography and Angiography in Cardiovascular Examination (심장혈관검사에서 전산화단층검사와 혈관조영검사의 입사표면선량 및 조영제 사용량에 관한 분석)

  • Seo, Young-Hyun;Han, Jae-Bok;Choi, Nam-Gil;Song, Jong-Nam
    • Journal of radiological science and technology
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    • v.39 no.4
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    • pp.535-541
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    • 2016
  • This study aimed to identify dose reduction measures by retrospectively analyzing the entrance surface dose at computed tomography and angiography in cardiovascular examination and to contribute the patients with renal impairmend and a high probability of side effects to determine the inspection's direction by measuring the contrast usages actually to active actions for the dose by actually measuring the contrast medium dose. The CTDIvol value and air kerma value, which are the entrance surface doses of the two examinations, and the contrast medium dose depending on the number of slides were compared and analyzed. This study was conducted in 21 subjects (11 males; 10 females) who underwent Cardiac Computed Tomographic Angiography (CCTA) and Coronary Angiography (CAG) in this hospital during the period from May 2014 to May 2016. The subject's age was 48~85 years old (mean $65{\pm}10$ years old), and the weight was 37.6~83.3 kg (mean $63{\pm}6kg$). Dose reduction could be expected in the cardiovascular examination using CCTA rather than in the examination using CAG. In terms of contrast medium dose, CAG used a smaller dose than CCTA. In particular, as the number of slides increases at CAG, the contrast medium dose increases. Therefore, in order to reduce the contrast medium dose, the number of slides suitable for the scan range must be selected.

Usefulness of Reverse Flow Prevention Valves for Back-flow Prevention of Gadolinium Based Contrast Agent in Dynamic Examination of Magnetic Resonance Imaging (자기공명영상 동적검사 시 조영제 역류방지용 밸브의 유용성)

  • Son, Soon-Yong
    • The Journal of the Korea Contents Association
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    • v.20 no.6
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    • pp.439-444
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    • 2020
  • The purpose of this study is to seek an alternative method to prevent the contamination of normal saline caused by the back-flow of Gadolinium Based Contrast Agent(GBCA) by the use of auto-injector for dynamic MRI. The research method is to manufacture the non-return valve as an alternative to the existing, and to examine the usefulness of the normal saline by dividing the state of normal saline into three groups. The signal intensity were compared. As a result, there was no statistically significant difference between normal saline before injection of group 1 and group 3 non-return valve (p> 0.05). It is analyzed that the self-produced non-return valve completely blocked the GBCA back to normal saline when the GBCA was injected. In conclusion, the application of the non-return valve presented in this study for dynamic MRI imaging using the auto injector can prevent normal saline contamination due to GBCA back-flow.

Radiological Perspectives for Diagnosis of Vasospastic Angina with Coronary Angiography (이형성 협심증 진단 조영 검사의 방사선학적 관점)

  • Jong-Gil Kwak;Young-Hyun Seo
    • Journal of the Korean Society of Radiology
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    • v.17 no.4
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    • pp.589-595
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    • 2023
  • If complete coronary artery occlusion occurs due to severer coronary spasm, malignant arrhythmias can lead to death. Therefore, early screening for coronary artery spasm angina is essential. Among the test methods, the drug injection test through coronary angiography is generally performed. Therefore, the purpose of this study was to evaluate the advantages of ergonovine drug test for vasospasitc angina examination during coronary angiography, such as the relationship between the procedure time, contrast medium usage, and radiation exposure effects of coronary angiography. Follow-up data of 142 patients who underwent coronary angiography and variant angina examination from september 2021 to february 2023 were used. As a result of analyzing contrast usage dose and dose area product and air kerma dose and number of imaging series and procedure time, variant angina examination was statistically significantly higher than coronary angiography. (p<0.001) In conclusion, variant angina examination other than coronary artery angiography are radiologically negative. Therefore, we think it is better to avoid excessive inspection. Nevertheless, in the case of the provocation test, the longer the examination time, the higher the fluoroscopy time and the amount of contrast medium used, so it is better to conduct the test as quickly as possible or shorten it.

건강을 지키는 현장-서울 제19지구 의료보험조합

  • KOREA ASSOCIATION OF HEALTH PROMOTION
    • 건강소식
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    • v.16 no.6 s.163
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    • pp.2-5
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    • 1992
  • '87년, 조합으로는 최초로 보건예방사업을 시작한 서울 제 19지구 의료보험조합은 실시 6년째를 맞는 올해 피보험자 간염검사 및 접종 6만 9천여명, 35세미만 피부양자 간염검사 6만 4천여명, 35세이상 피부양자 성인병 검사 4만 6천여명 등을 대상으로 보건의료 혜택을 주기로 하고 현재 검사를 진행하고 있다. 능동적인 업무처리와 조합원의 편의와 권리행사 우선의 업무추진으로 타 조합의 모범이 되고 있는 19지구 의보의 활동 내용을 이번 호에 소개해 본다.

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Analysis of the Entrance Surface Dose (ESD) and Contrast Usage of Trance Femoral Cerebral Angiography (TFCA) and Cerebral Computed Tomographic Angiography (CCTA) for Cerebrovascular Disease Examining (뇌혈관 질환 검사를 위한 뇌혈관 조영술(TFCA)과 뇌혈관 전산화 단층 촬영 검사(CCTA)의 입사표면선량(ESD) 및 조영제 사용량 분석)

  • Seo, Young-Hyun;Hong, Cheon-Gi;Song, Jong-Nam
    • Journal of the Korean Society of Radiology
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    • v.13 no.4
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    • pp.495-502
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    • 2019
  • A typical cerebrovascular disease among cerebrovascular diseases is vascular diseases such as cerebral infarction, cerebral hemorrhage, cerebral aneurysm, cerebrovascular stenosis. If the disease occurs and causes cerebral damage, it may be difficult to recover completely. So that, Must continue to perform health care through examination early. In particular, Because most cerebrovascular disease examining use radiation equipment and Thus this study was to find out how to select about the optimal examining method and X-ray dose decrease method among different examining method though comparison and analysis for the entrance surface dose (ESD) on cerebrovascular examining with Trance Femoral Cerebral angiography (TFCA) and Cerebral Computed Tomographic Angiography (CCTA). Also, want to find out how to select about the optimal examining method for worried patient that contrast medium side effect though measuring and evaluating for contrast usage. Data were collected from 70 patients (43 males and 27 females) who underwent CCTA at Yeosoo region hospital from June 2018 to December 2018 and 61 patients (34 males and 27 females) who underwent TFCA at Pyeongtaek region hospital from June 2018 to November 2018. ESD analysis method collected retrospective data though M-view and PACS PLUS program, Used contrast usage measuring method did reality measuring method. In the analysis using SPSS, the ESD of TFCA was $245.74{\pm}71.91$, which was $32.05{\pm}7.74$ lower than the dose of $277.79{\pm}79.65$ of CCTA ESD, and statistically significant at t = 3.249, p = 0.017 (p<0.05). As a result of the comparison of the total amount of contrast agent, the mean contrast agent used in TFCA was $55.05{\pm}17.68ml$, which was about 14.95 smaller than the amount of contrast agent used in CCTA, and statistically significant t = -4.548, p<0.001. In conclusion, the ESD of TFCA was statistically significantly lower than that of CCTA, and also the used contrast usage was significantly tiny than that of CCTA. Therefore, Select the method to increase the utilization of TFCA for cerebral disease examining, we can consider X-ray dose decrease method at the same time as to decrease side effect of contrast medium.

칭량장치

  • O, Do-Seok
    • 월간산업보건
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    • s.84
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    • pp.19-24
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    • 1995
  • 우리나라는 60년대 초부터 80년대 후반까지 중화학공업의 육성에 급급한 나머지 각종 산업분야에서 사용 및 생산된 유해화학물질의 환경과 인간에 미치는 영향은 거의 무시되어왔기 때문에 80년대 후반부터 각종 유해화학물질로 인한 직업병이 노출되어 사회문제화 되었다. 따라서 시급하게 이들 유해화학물질을 관리해야 할 필요성이 대두되고 이를 위한 제도적 장치가 마련되었다. 바로 이것이 작업환경측정 및 임상검사에 대한 정도관리제도이다. 작업환경측정을 위한 정도관리는 작업환경측정에 관한 정도관리규정(노동부 고시 제 92-18호, 1992, 4, 16) 에 의거 한국산업안전공단에서 현재 매년 2회에 걸쳐 실시하고 있으며, 근로자의 임상시료에 대한 정도관리는 1977년 대한임상검사 정도관리학회에서 실시한 이래 현재까지 자율적으로 계속 실시되고 있고, 제도적으로는 근로자 건강진단 실시기준(노동부 고시 제 92-9호, 1992. 4. 2)에 의거 대한산업보건협회가 현재까지 70여개 대상기관에 대한 매년 2회를 실시하고 있다. 그러나 작업환경측정이나 임상시료에 대한 결과치의 신뢰도 증대가 요구되는 현시점에서 신뢰도 증진의 중요한 요소중의 하나인 검사기기의 정도관리는 더더욱 그 중대함을 더해가고 있으나 우리의 실정이 이를 만족시키지 못하고 검사기기에 대한 정도관리를 할 수 있는 참고할 서적이나 방법이 부족하여 관련분야의 실무자들이 많은 애로점을 갖고 있는 실정이다. 따라서 여기에서는 검사에 사용되는 각종 기기에 대한 기초원리, 사용목적, 검사순서, 적용범위, 취급상의 주의, 사용하는 입장에서의 보수관리에 대해 서술함으로써 작업환경측정이나 임상정도관리 및 기타 관련분야에서 공통으로 사용하는 검사기기에 대한 정도관리를 함으로써 더욱더 신뢰도 높은 결과를 얻는데 기여할 수 있는 것으로 기대된다. 또한 여기에 소개한 기초원리나 응용분야에서 부족한 점은 화학, 물리학 및 임상병리학 등 전문서적을 참고하여 주기 바란다.

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Improvement Policy about Inspection systems of Small fishing Vessels (소형어선 검사제도 현실과 개선방안)

  • Lee Kwang-Nam
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.11 no.2 s.23
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    • pp.51-63
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    • 2005
  • In relation with inspection systems of small fishing vessels, Government is drawing up revision of the law about ships safety act(Article 3) on the basis of supporting safe fishing activities to expand the application range of ships safety act for vessels under 2 tons(small fishing vessels) that are exempted from inspection systems. There are two opinions about inspection of small fishing vessels. Government's opinion is that inspection of small fishing vessels must be enforced to confirm small fishing vessels' safety but fishermen's opinion is that inspection systems keep on existing law because inspection systems spends a lot of time and money to the poor and the old. The alternatives for countered opinions is that the poor fishermen's vessels' for living or small vessels' inspection must be operated by themselves in principle and minimizing the limitation through policies is recommended. In addition, Government needs to develop various programs for inspection systems of small fishing vessels like the main fisheries countries. Particularly, in case of operating inspection systems of small fishing vessels, Government needs to consider some solutions for example supporting inspection fee, minimum inspection for confirming vessels' safety, inspecting when a vessel is building, expanding an inspection period.

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엘라스타제의 토끼에 대한 최기형시험

  • 안병옥;백남기;이순복;김원배;양중익;이영순;임운규
    • Environmental Mutagens and Carcinogens
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    • v.10 no.2
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    • pp.119-126
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    • 1990
  • 본 최기형시험은 엘라스타제가 임신토끼와 태자에 미치는 영향을 조사할 목적으로 수행되었다. 시험은 임신된 New Zealand White 종의 토끼를 2개의 대조군 (제 1, 제 2대조군)과 3개의 투여군 (제 1, 제 2, 제 3투여군)으로 나누어 실시되었다. 제 1, 제 2, 제 3투여군에는 각각 엘라스타제 1, 2, 12, 120mg/kg을 임신 6일부터 18일까지 연일 경구투여하였으며, 같은 기간동안 제 1대조군과 제 2대조군에는 각각 10% skim milk 수용액과 ethylene thiourea 40mg/kg을 경구투여하였다. 임신 29일에 모든 모동물을 도살하여 모체와 태자를 검색하였다. 시험기간중 제 2대조군에서는 사료섭취량이 유의성있게 감소되었다 (P<0.01). 시험결과 황체수, 착상수, 생존태자수, 태자의 성비, 태자 및 태반중량에 있어서 각 군간 유의성있는 변화가 관찰되지 않았으며 태자의 외형검사, 애부장기 및 골격 검사에서도 군간 유의성있게 변화가 관찰되지 않았다. 이상의 결과로 미루어 본 시험에서 채택한 엘라스타제의 용량은 토기에 있어서 최기형 유발능이 없는 것으로 판단된다.

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