• Title/Summary/Keyword: 보건 의료

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Effects of Tube Voltage and Tube Current on Exposure Index : Focused on Radiographic Images of Cone Pyramid Phantom (관전압과 관전류량이 노출 지수에 미치는 영향 : 원뿔형 피라미드 팬텀 방사선영상 중심으로)

  • Seoung, You-Hun
    • Journal of the Korean Society of Radiology
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    • v.13 no.5
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    • pp.749-755
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    • 2019
  • In this study, we investigated the effects of tube voltage (kVp) and tube current (mAs) on an exposure index (EI) applied to a digital radiography. There used an inverter type digital X-ray generator and an image receptor (IR) utilized a portable wireless detector without a grid. Radiographic images were acquired using a cone pyramid phantom produced using a 3D printer. The X-ray tube voltage was increased from 40 kVp to 120 kVp with 10 kVp increment, and the tube current was increased from 1 mAs to 128 mAs with the twice increment. As a result, kVp had logarithmic relationship with the EI as high $R^2$ value, and mAs had a very high linear relationship too. Also, there was a high correlation between the area dose and the EI of the IR, with the $R^2$ value being 0.76 or more. In conclusion, it had showed that mAs affected the EI linearly, and that it could be advantageous to adjust the easy-to-predict mAs to maintain proper image qualities.

Evaluation of Image Quality for Compressed SENSE(CS) Method in Cerebrovascular MRI: Comparison with SENSE Method (뇌혈관자기공영영상에서 Compressed SENSE(CS) 기법에 대한 영상의 질 평가: SENSE 기법과 비교)

  • Goo, Eun-Hoe
    • Journal of the Korean Society of Radiology
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    • v.15 no.7
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    • pp.999-1005
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    • 2021
  • The object of this research is CS, which increases resolution while shortening inspection time, is applied to MRA to compare the quality of images for SENSE and CS techniques and to evaluate SNR and CNR to find out the optimal techniques and to provide them as clinical basic data based on this information. Data were analyzed on 32 patients who performed TOF MRA tests at a university hospital in Chung cheong-do (15 males, 17 females), ICA stenosis:10, M1 Aneurysm:10, and average age 53 ± 4.15). In the inspection, the inspection equipment was Ingenia CX 3.0T, Archieva 3.0T, and 32 channel head coil and 3D gradient echo as a method for equipment data. SNR and CNR of each image were measured by quantitative analysis, and the quality of the image was evaluated by dividing the observer's observation into 5 grades for qualitative evaluation. Imaging evaluation is described as being significant when the p-value is 0.05 or less when the paired T-test and Wilcoxon test are performed. Quantitative analysis of SNR and CNR in TOF MRA images Compared to the SENSE method, the CS method is a method measurement method (p <0.05). As an observer's evaluation, the sharpness of blood vessels: CS (4.45 ± 0.41), overall image quality: CS (4.77 ± 0.18), background suppression of images: CS (4.57 ± 0.18) all resulted in high CS technique (p = 0.000). In conclusion, the Compressed SENSE TOF MRA technique shows superior results when comparing and evaluating the SENSE and Compressed SENSE techniques in increased flow rate magnetic resonance angiography. The results are thought to be the clinical basis material in the 3D TOF MRA examination for brain disease.

The effect of Self-sufficiency Project on Participants' Self-reliance and Satisfaction -Focusing on Self-sufficiency Participants in Ulsan Metropolitan City- (자활사업이 참여자의 자립의지 및 만족도에 미치는 영향 -울산광역시 자활참여자 중심으로-)

  • Park, Ju Young
    • The Journal of the Korea Contents Association
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    • v.21 no.9
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    • pp.580-594
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    • 2021
  • The purpose of this paper is to investigate the impact on self-reliance and satisfaction of participants participating in the self-sufficiency business program of the Ulsan Metropolitan Regional Self-Sufficiency Center. A self-filled questionnaire was surveyed on self-sufficiency participants in five Borough and Country in Ulsan for 4 weeks from September 1 to 30, 2020, and final 233 copies were used in the actual analysis. As a result of the study, first, the percentage of positive responses of the participants was found to be good at 71.7%, for questions on the degree of support to the government, local governments, and administrative welfare centers. Second, in response to a system or service that would like to be supported or needed in the future, support for living expenses and support for health and medical expenses appeared and as a result of gender difference analysis, it was confirmed that there was a significant difference between support for children's education expenses and support for housing funds. Among the factors of the participant's psychological self-reliance(self-control, confidence, and willingness to work), the factor of self-control was the most significant factor, followed by confidence and willingness to work. Overall satisfaction with work was the highest among 9 satisfaction items such as salary and working hours.

A Study on Relationship between the Practice of Aerobic Exercise and the Prevalence and Risk of Arthritis with Comorbid Chronic Diseases (유산소운동의 실천과 만성질환이 동반된 관절염의 유병률 및 위험도에 대한 관계 연구)

  • Yoon, In-Sang;Lee, Hye-Lim;Lee, Jongseok;Jung, Deuk
    • Journal of Digital Convergence
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    • v.19 no.8
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    • pp.351-359
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    • 2021
  • This study was conducted to analyze the relationship between the practice of aerobic exercise and the prevalence and risk of arthritis with comorbid chronic diseases. For this study, the National Health and Nutrition Examination Survey 2017-2019 data were used and 17,356 people were selected as subjects. The relationship between the practice of aerobic exercise and the prevalence and risk of arthritis according to demographic characteristics and chronic diseases was analyzed by the chi-square independence test and Breslow-Day test. While the rate of aerobic exercise was low among women, the elderly, the low-income group, the low-education group, and people living in rural areas, the prevalence and risk of arthritis were relatively high. And in the chronic disease-positive group, those who practiced aerobic exercise had a relatively lower prevalence and risk of arthritis than those who did not. In particular, the practice of aerobic exercise was an effective complement in reducing the prevalence and risk of arthritis in people with high blood pressure, diabetes, and dyslipidemia. Therefore, the practice of aerobic exercise such as walking, slow running, and aerobic dance should be recommended in terms of the preventive medicine and health care to people who are in the group with a high prevalence of arthritis in demographic characteristics and people who have comorbid chronic diseases.

Investigation of the Super-resolution Algorithm for the Prediction of Periodontal Disease in Dental X-ray Radiography (치주질환 예측을 위한 치과 X-선 영상에서의 초해상화 알고리즘 적용 가능성 연구)

  • Kim, Han-Na
    • Journal of the Korean Society of Radiology
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    • v.15 no.2
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    • pp.153-158
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    • 2021
  • X-ray image analysis is a very important field to improve the early diagnosis rate and prediction accuracy of periodontal disease. Research on the development and application of artificial intelligence-based algorithms to improve the quality of such dental X-ray images is being widely conducted worldwide. Thus, the aim of this study was to design a super-resolution algorithm for predicting periodontal disease and to evaluate its applicability in dental X-ray images. The super-resolution algorithm was constructed based on the convolution layer and ReLU, and an image obtained by up-sampling a low-resolution image by 2 times was used as an input data. Also, 1,500 dental X-ray data used for deep learning training were used. Quantitative evaluation of images used root mean square error and structural similarity, which are factors that can measure similarity through comparison of two images. In addition, the recently developed no-reference based natural image quality evaluator and blind/referenceless image spatial quality evaluator were additionally analyzed. According to the results, we confirmed that the average similarity and no-reference-based evaluation values were improved by 1.86 and 2.14 times, respectively, compared to the existing bicubic-based upsampling method when the proposed method was used. In conclusion, the super-resolution algorithm for predicting periodontal disease proved useful in dental X-ray images, and it is expected to be highly applicable in various fields in the future.

A Meta-analysis of the Difference in Job Satisfaction Levels by Type of Employee (근로자의 고용형태별 직무만족도 차이에 대한 메타분석)

  • Kim, Young-Heung;Na, Seung-Il;Kim, Ji-Hyeon;Park, Yong-Jin
    • Journal of vocational education research
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    • v.37 no.1
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    • pp.101-118
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    • 2018
  • The purpose of this study was to investigate the effect size of the difference of job satisfaction by type of employment by combining data from previous studies. For this purpose, the total of 95 articles analyzed. For the analysis of data, CMA(Comprehensive Meta-Analysis) 2.0 program was used and statistical significance was set at 5%(${\alpha}=0.05$). The main conclusions of this study are as follows. First, regular workers have higher job satisfaction than non-regular workers and the effect size of employment type is medium. Second, among five constituents of job satisfaction, the difference of wage and promotion satisfaction is greater than the difference of satisfaction in human relations, work and working environment satisfaction. Third, the job satisfaction of regular and non-regular workers differs according to the occupation areas. Fourth, there is a big difference in job satisfaction in financial, insurance, food and service occupation areas, and regular workers have higher job satisfaction than non - regular workers. On the other hand, non-regular workers have higher job satisfaction than regular workers in health, medical, social occupation areas.

Analysis of Satisfaction and Problems of Clinic Radiological Technologist on the Supplementary Education (보수교육에 대한 의원방사선사의 만족도와 문제점 분석)

  • Jeong, Bong-Jae;Park, Jun-Hong;Song, Jae-Heung;Noh, Si-Cheol
    • Journal of the Korean Society of Radiology
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    • v.12 no.7
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    • pp.861-868
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    • 2018
  • As the research about supplementary education of radiological technologist who works in medical clinics, this study was conducted to draw the improvements by analyzing the satisfaction level and problems of the supplementary education. During November 01, 2016 to April 30, 2017, after we distributed a total of 150 questionnaires for the survey to radiological technologists working at medical clinics located in Changwon-si, Gyoungsangnam province, 106 questionnaires suitable for research were analysis by using SPSS 18.0 statistical analysis software. As the sociodemographic characteristics, the age, gender, working period, level of education, and working department were used. And As the welfare factors, working environment, financial support, educational opportunity, medical support, working culture, etc. were used. As the satisfaction factors, 21 items such as system, subject, help, appropriateness of lecturer selection, professionalism were used. And as the problem factors, 18 items such as place, transportation, diversity, administrative treatment, education promotion, proceed method were used. Consequentially, the satisfaction level(3.02 point) of the supplementary education were confirmed as normal level. And the problems(3.18 point) of the supplementary education was analyzed a little higher. The supplementary education is the mandatory education that any health and medical service personnel must complete every three years for license re-issuance. There were many opinions that the supplementary education for radiologists working in various medical institutions did not meet the education level of radiologists working in the medical clinics. In order to improve the satisfaction of the supplementary education of medical clinic's radiological technologist, it should be improved the quality of education through a practical education program that reflects various opinions and improvements on conservative education.

Analysis of Health Insurance Standards and Utilization of MRI in Korea: Based on Health Insurance Claim Data (한국의 MRI 건강보험 급여기준 및 진료이용에 관한 연구)

  • Cho, Young-Kwon
    • Journal of the Korean Society of Radiology
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    • v.12 no.7
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    • pp.869-877
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    • 2018
  • This study analyzed the current status of MRI (frequency, amount of treatment) based on the history of application of the MRI health insurance benefit standard and health insurance claim data. MRI examinations began as a health insurance benefit in 2005. In 2005, the indications were restricted for some diseases, but coverage for benefits in 2010, 2013, 2016, and 2018 was expanded. In 2021, the Ministry of Health and Welfare decided to apply health insurance for all MRI examinations. From 2010 to 2017, the number of MRI examinations increased by 86.7% in 2017 compared to 2010, and the amount of treatment increased by 53.5%. According to general characteristics, the number of MRI examinations was higher in women than in men. By age, the number of examinations was the highest among ages 70-79. Outpatient examinations were more frequent than inpatient examinations, and the number of examinations in the tertiary hospitals was the highest among the types of hospitals. The number of brain MRI examinations was the highest in each exam site. In December 2013, the standard of MRI was expanded for heart disease and Crohn's disease, the number of cardiac MRI and abdominal MRI examinations increased in 2014 compared to 2013. However, the number of examinations is small and not associate with the disease, it would be difficult to say that it affected the increase in the total number of MRI examinations. To assess health insurance sustainability and policy effectiveness, monitoring will be necessary.

Mesenchymal Stem Cell-derived Exosomes: Applications in Cell-free Therapy (중간엽줄기세포유래 엑소좀: 비세포치료제로서의 활용)

  • Heo, June Seok;Kim, Jinkwan
    • Korean Journal of Clinical Laboratory Science
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    • v.50 no.4
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    • pp.391-398
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    • 2018
  • Mesenchymal stem cells (MSCs) are an attractive resource for refractory patients because of their anti-inflammatory/immunomodulatory capability and multi-lineage differentiation potential. The transplantation of MSCs has led to positive results in preclinical and clinical application to various diseases, including autoimmune disease, cardiovascular disease, cancer, liver cirrhosis, and ischemic stroke. On the other hand, studies have shown that paracrine factors, not direct cell replacement for damaged cells or tissue, are the main contributors in MSC-based therapy. More recently, evidence has indicated that MSC-derived exosomes play crucial roles in regulating the paracrine factors that can mediate tissue regeneration via transferring nucleic acids, proteins, and lipids to the local microenvironment and cell-to-cell communication. The use of these exosomes is likely to be beneficial for the therapeutic application of MSCs because their use can avoid harmful effects, such as tumor formation involved in cell transplantation. Therefore, therapeutic applications using MSC-derived exosomes might be safe and efficient strategies for regenerative medicine and tissue engineering. This review summarizes the recent advances and provides a comprehensive understanding of the role of MSC-derived exosomes as a therapeutic agent.

Study on validity of the National Examination based on smart device based test(SBT) by 7 types of healthcare occupation (보건의료직종별 SBT 국가시험체제에 대한 타당성 연구)

  • Yoou, Soon-Kyu;Won, Jong-Soon;Lee, Koon-Ja;Han, Dong-Kyoon;Sung, Ho-Joong;Lee, Han-Suk;Chung, Lim-Hee;Kim, Eun-Joo;Choi, Hea-Kyung
    • The Korean Journal of Emergency Medical Services
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    • v.22 no.3
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    • pp.7-34
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    • 2018
  • Purpose: The purposes of this research were to study the validity of the National Examination based on smart based test(SBT) by 7 types of healthcare occupation. Methods: We conducted a questionnaires survey among 1,219 people including 210 professors for all 7 types of healthcare occupation and 573 clinical specialists ; 436 students from random sampling participated and the reliability of the questionnaire was tested using Cronbach's alpha. Results: Professors from 7 types of healthcare occupation were investigated for their opinions on the introduction of the SBT system ; 65.9% of the professors answered positively on the introduction of the SBT National Examination System, while 40.1% of the clinical experts answered likewise. In particular, professors and the clinical experts recognized altogether that the multimedia questionnaire, being effective for the evaluation of clinical and practical competence of the subjects, enabling the evaluation of various areas and strengthening the school education in clinical practices, the 42.0% of the students from 7 departments answered that the future direction of the national test is in the SBT test system with significant difference (p=.000) found in students majoring in order of Emergency Medical Services, Radiology and Physical therapy, compared to students from other majors, showing the positive response to the SBT system. Conclusion: The results of this study comprehensively evaluated the positive recognition of development of multimedia items and SBT system in national examination of 7 types of healthcare occupation in professors, field specialists and students.