• 대한임상검사과학회지
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• 제41권3호
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• pp.140-144
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• 2009

Clinical laboratory testing plays a crucial role in the detection, diagnosis, and treatment of disease. Clinical laboratory scientists evaluate test results, develop and modify procedures, and establish and monitor programs, to ensure the accuracy of tests. It is clear that over the past decade the role of the clinical laboratory scientists has expanded and this process will be continued into the future. The purpose of this study is to clarify the factors influencing the job performance of clinical laboratory scientists and aim to provide the role and duties of clinical laboratory scientists. To examine the frequency of work context and the importance of task, the surveys were conducted on 168 clinical laboratory scientists. The questionnaire items were used 10 score by Likert scale. According to the results of this study, the important factor affecting the job performance was "Analyze laboratory findings to check the accuracy of the results", and the next factors were "Establish and monitor quality assurance programs", "Enter data from analyzer into computer", "Calibrate and maintain equipment". And the factors of "repeating same tasks" and "spend time making repetitive motions" were answered the highest. This study will provide strategies for improving work environment, developing education curriculum and method, and role of clinical laboratory scientists. We must continually upgrade our knowledge, and identify the new trends in technology and science and accept changes.

• 대한임상검사과학회지
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• 제37권2호
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• pp.111-117
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• 2005

The purpose of this study is to provide the basic guidelines of spatial and physical environment for the planning and design of clinical laboratory by analysing the extent of satisfaction of clinical laboratory scientists. The data for this analysis was gathered from March to May 2005 by the questionnaires of 208 clinical laboratory scientists who work in the 13 hospitals. All the collected data was analyzed by the SPSSWIN program. In this study, the satisfaction measurement tool was composed with 8 items and 5 score scale. The mean score of satisfaction for spatial and physical environment was 2.89 out of 5.0, "noise" was the lowest 2.40, "temperature and moisture of the lab." was 2.72, "lab. area, service area and administration area" was 2.77, "passageway space" was 2.94, circulation of workers was 2.94, "color of finish" was 3.19, "lighting of lab." was the highest 3.39. In conclusion, various factors, noise, temperature and moisture, clinical lab area, were evaluated to moderate dissatisfaction. Noise was especially the first serious problem in clinical lab. Considering the high growth of the number of tests, the planning of the clinical laboratory size should be considered not only to provide the optimal size but how it will correspond to the growth of the number of tests. Therefore the arrangement of each section need to be flexible in arrangement which is inevitable in expansion and reconstruction in the future.

• Journal of Gastric Cancer
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• 제22권4호
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• pp.306-318
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• 2022

Gastric cancer (GC) is associated with high morbidity and mortality rates. Thus, early diagnosis is important to improve disease prognosis. Endoscopic assessment represents the most reliable imaging method for GC diagnosis; however, it is semi-invasive and costly and heavily depends on the skills of the endoscopist, which limit its clinical applicability. Therefore, the search for new sensitive biomarkers for the early detection of GC using noninvasive sampling collection methods has attracted much attention among scientists. Urine is considered an ideal biofluid, as it is readily accessible, less complex, and relatively stable than plasma and serum. Over the years, substantial progress has been made in screening for potential urinary biomarkers for GC. This review explores the possible applications and limitations of urinary biomarkers in GC detection and diagnosis.

• 대한임상검사과학회지
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• 제42권2호
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• pp.103-109
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• 2010

The aim of this study was to investigate the problem areas in the current clinical training of biomedical laboratory science education which may guide the development of an effective strategy for managing clinical training for biomedical laboratory science students. A self-reporting questionnaire was developed by the researchers. This survey was conducted between May 1st and May 15st in 2009 and 92 questionnaires were collected from senior biomedical laboratory science students. In Analyzing data, chi-square test was used for categorical variables. 82.6% of respondents was satisfied with conditions of the training institutes. 30~40% of the respondents reported that they were not satisfied with the programs and supervision systems for training students even though the staff members of other disciplines were supportive in general. Although 83.7% of the respondents reported that they were obtaining information and knowledge for their professional carrier through the training, 70.7% of the respondents reported that they had negative experiences during the training. According to the result of the survey, it can be inferred that the structure of the training education needs to be more systematically organized in order to train the well prepared entry-level biomedical laboratory scientists.

• 대한임상검사과학회지
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• 제49권2호
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• pp.55-68
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• 2017

최근 과학과 의료기술의 발전으로 의료행위에 있어 많은 변화를 가져왔으며 환자의 치료에 있어 그 역할이 강조되고 있다. 특히 임상병리사의 경우, 역할과 중요성이 의료과학 분야가 발달함에 따라 증가되고 있으며, 이에 따른 책임감 역시 증가하고 있다. 임상병리사의 전문성과 독립성의 증가로 더 이상 의사의 보조로만 여기지 않고, 의사의 진료와 의료기사 등의 의료 보조행위에 기초하여 현대 의료서비스는 보다 조직화되고 복잡화, 전문화 되고 있다. 그러나 "의료기사 등에 관한 법률"에서는 의료기사는 의사 또는 치과의사의 지도하에서만 면허범위 내의 행위가 가능하도록 규정하고 있다. 그래서 본 연구에서는 각종 의료행위에 있어서 임상병리사를 중심으로 하여 "의료기사 등에 관한 법률"에서 나타나는 문제점과 그 중에서도 의료업무, 의료지도에 관한 부분 등에 관해 살펴보았다. 결론으로 "의료기사 등에 관한 법률"에 명시된 의사의 지도에 대한 명확한 해석이 필요하며, 국가면허시험의 자격과 역할을 "의료기사 등에 관한 법률"에 명시하고, 임상병리사의 역할에 대해 보건의료인들과의 소통 또한 필요하며, 독립된 법제정으로 임상병리사들의 영역 확대와 전문성을 확대 강화하는 것이 필요할 것이라고 생각한다.

• 대한임상검사과학회지
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• 제51권4호
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• pp.495-503
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• 2019

본 연구는 채혈실의 적정인력에 대한 표준산출모형을 제시하기 위하여 임상병리사의 채혈 업무량 평가에 따른 적정인력 규모를 산정하였다. 연구대상으로 600에서 2,000병상 사이의 11개 대학병원을 선정하였다. 표준산출모형을 위한 채혈 관련 주요 인자를 선정하고 국내현황조사, 인자의 병원 간 분석, 표준채혈시간을 제시하여 채혈 적정인력을 산정하였다. 연구대상으로 600에서 2,000병상 사이의 11개 대학병원을 선정하였다. 소아와 노인을 제외한 20세 이상~60세 미만의 성인 외래채혈환자를 대상으로 측정한 14단계 표준채혈시간은 4분 8초이었다. 하루 8시간 기계적 채혈을 한다고 가정할 경우 1명의 임상병리사가 채혈 할 수 있는 최대건수는 100건으로 분석되었다. 결론적으로 채혈에 종사하는 임상병리사의 1일 적정채혈 환자 건수는 100건 이하로 하는 것이 적정할 것으로 사료된다. 그리고 채혈적정인력은(채혈업무 100% 비중)=연간적정건수/((1일 근로시간/건당 소요시간)×연간 근무일수)이므로 채혈 적정인력(채혈업무 100%비중)=연간적정건수/(100×연간 근무일수)라 할 수 있다.

• Journal of Computing Science and Engineering
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• 제6권1호
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• pp.51-59
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• 2012

We describe the framework of a data-fuelled, interdisciplinary team-led learning system. The idea is to build models using patients from one's own institution whose features are similar to an index patient as regards an outcome of interest, in order to predict the utility of diagnostic tests and interventions, as well as inform prognosis. The Laboratory of Computational Physiology at the Massachusetts Institute of Technology developed and maintains MIMIC-II, a public deidentified high- resolution database of patients admitted to Beth Israel Deaconess Medical Center. It hosts teams of clinicians (nurses, doctors, pharmacists) and scientists (database engineers, modelers, epidemiologists) who translate the day-to-day questions during rounds that have no clear answers in the current medical literature into study designs, perform the modeling and the analysis and publish their findings. The studies fall into the following broad categories: identification and interrogation of practice variation, predictive modeling of clinical outcomes within patient subsets and comparative effectiveness research on diagnostic tests and therapeutic interventions. Clinical databases such as MIMIC-II, where recorded health care transactions - clinical decisions linked with patient outcomes - are constantly uploaded, become the centerpiece of a learning system.

• 대한임상검사과학회지
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• 제52권3호
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• pp.284-295
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• 2020

2019년 12월, 중국 후베이성 우한시에서 COVID-19환자가 처음으로 보고되었다. 그 이후 국내에서 신종 코로나 바이러스에 의해 야기된 중증 급성 호흡기 증후군 환자가 급격하게 증가하였다. 이러한 새로운 변종 바이러스는 기침, 인후통, 비루, 호흡곤란, 폐렴 및 기타 폐질환을 유발한다. 중증 급성 호흡기 증후군 코로나 바이러스 2는 RNA바이러스로, 실시간 역전사효소 중합효소 연쇄반응을 통한 분자진단 검사가 COVID-19의 진단에 폭 넓게 사용되고 있다. 국내 질병관리본부와 식품의약품 안전처의 긴급 사용 허가 승인에 따라, 건강한 사람과 COVID-19 환자로부터 검체를 채취하여 진단검사의학적인 방법을 통해 진단을 수행하고 있다. 기존에 출판된 많은 문헌 고찰을 통해, 본 연구에서는 역학, 증상 및 질병관리본부의 승인을 받은 현재의 검사실 내 COVID-19 분자 진단 방법, 분자 진단 검사와 혈청학적 진단의 차이, 임상 검체 가이드라인 등을 다시 한 번 확인하고자 하였다. 추가적으로 본 연구를 통해 국내 의료기관 내 의료종사자 및 임상병리사들의 병원 감염을 예방하고자 생물학적 안전에 관한 가이드라인을 확인하였다. 국내 임상병리사들의 경험과 그로부터 얻은 교훈을 통해 국내외 COVID-19 팬데믹 상황으로부터 국민의 안전을 지킬 수 있는 단초를 제공할 수 있을 것이라 사료된다.

• 한국정보과학회:학술대회논문집
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• 한국정보과학회 2003년도 가을 학술발표논문집 Vol.30 No.2 (2)
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• pp.760-762
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• 2003

HL7(Health Level 7)은 보건의료 분야에서 ANSI에서 승인한 SDO(Standards Developing Organization)들 중의 하나이다. 대부분의 SDO들은 약제. 의료 장비 이미지, 보험 처리 등과 같은 보건의료 분야에서의 표준을 만든다. HL7의 영역은 진료와 병원 행정적인 부분이다. HL7에서는 Version2.3, Version2.4, Version3.0 등을 포함해 Data Model. Arden Syntax, CCOW(Common Context Object Workgroup) CDA(Clinical Document Architecture) 등의 표준을 만들어 나간다. 본 논문에서는 이 표준들 중 CCOW에 대해 알아보고. 기존 Agent System에 좀 더 지능적이고 자율적인 CCOW 서비스를 제공하는 방안을 알아본다.

• 동의생리병리학회지
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• 제22권3호
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• pp.691-698
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• 2008

The aims of this study are to search herbal medicines that have anti-aging, anti-wrinkle, anti-oxidant and whitening effects. This is preliminary study as a finding for excellent and specific natural agents which inhibit the skin aging and whitening formation. In this study, the articles and the documents, which have been published in domestically or internationally, have been searched and analyzed. Articles were gathered by taking advantage of Society of Cosmetic Scientists of Korea's documents, Pub med database, Korean Medical Database and Korean Studies Information Service System. Among the many species of herbal medicines, we selected the herbal medicines showing superoxide scavenging activities, and 1.1-diphenyl-2-picrylhydrazyl(DPPH) scavenging effects. The herbal medicines were showed anti-wrinkle effects on Metrixmetallo proteinase (MMP-1) inhibition activity and elastase inhibition activity. Also we found herbal medicines that have highly effect of tyrosinase inhibition, L- DOPA inhibition and melanin synthesis inhibition.