• 제목/요약/키워드: Contrast safety

검색결과 410건 처리시간 0.026초

Management of Adverse Reactions to Iodinated Contrast Media for Computed Tomography in Korean Referral Hospitals: A Survey Investigation

  • Seungchul Han;Soon Ho Yoon;Whal Lee;Young-Hun Choi;Dong Yoon Kang;Hye-Ryun Kang
    • Korean Journal of Radiology
    • /
    • 제20권1호
    • /
    • pp.148-157
    • /
    • 2019
  • Objective: To evaluate the current status of managing adverse reactions to iodinated contrast media (ICM) for computed tomography in referral hospitals in South Korea compared with hospitals in other countries. Materials and Methods: This survey investigation involved 59 Korean and 15 overseas hospitals using guideline-based questionnaires consisting of 24 items in 7 main categories related to managing adverse reactions to ICM. Results: Informed written consent with risk factor evaluation was appropriately performed in most of the Korean hospitals. There was considerable variability in assessing renal function across the hospitals; serum creatinine level was used as a reference in 76.4% of Korean hospitals. The Korean hospitals preferred a more stringent approach to determining normal renal function (p = 0.01), withholding metformin (p = 0.01), and fasting before ICM exposure (p < 0.001) compared with overseas hospitals. All the Korean hospitals had an emergency protocol and in-hospital system for adverse reactions to ICM. The Korean (87.7%) and overseas hospitals (100%) were similarly equipped with epinephrine (p = 0.332), but only 38.6% of Korean hospitals were equipped with a bronchodilator (p = 0.004). For patients with a previous hypersensitivity reaction to ICM, 62.3% of Korean hospitals pre-medicated with anti-histamine and corticosteroid according to the severity of the previous reaction, and changed the culprit ICM in 52.8%, while skin test was performed in 17%. Conclusion: In general, Korean referral hospitals were well-prepared regarding informed consent, protocol, and an in-hospital system for managing adverse reactions to ICM. Nevertheless, there was considerable variability in details and management, thus requiring standardization by reflecting current guidelines.

미국 상위 30개 연구 중심 대학들의 실험실 환경보건안전 담당 부서 - MIT 사례를 중심으로 (Environment, Health and Safety Offices of the Top 30 Research Universities in the U.S.A. - Focused on the Case of Massachusetts Institute of Technology(MIT))

  • 안광석;강동묵;신용철;전영희
    • 한국산업보건학회지
    • /
    • 제17권3호
    • /
    • pp.192-202
    • /
    • 2007
  • Objectives: The objectives of this research are to examine the missions, organization, and programs of the environmental, health and safety(EHS) offices of the major research universities in the U.S.A., particularly the case of Massachusetts Institute of Technology(MIT) EHS Office, and to suggest ways to address the EHS issues of the universities and research institutes in South Korea. Methods: The top 30 research universities in the U.S.A. were selected by the total amounts of research funds they annually received. The web sites of the 30 universities were searched to identify the names of the departments that address environment, health, and/or safety related issues, the missions of those departments, the major programs of those departments, and the number of staff in those departments. Also, a case study was conducted for the Environment Health and Safety Management System and the Environment, Health and Safety Office of the MIT, using literature and web searches and a meeting with the Director of the MIT Environment, Health and Safety Office. Results: All the top 30 research universities in the U.S.A. had designated departments that dealt with EHS issues. Most of them were by the name of or similar to environmental, health and safety. The mission statements of those departments were mostly about improving the safety and health of their community members, improving the environment, and complying to EHS regulations. Most of those departments had an environmental management program, industrial hygiene program, radiation protection program, safety program, and biosafety program as their major programs. The components of the environment, health and safety management system(EHS-MS) of the MIT were examined in detail. In contrast, not many universities in South Korea had designated departments that dealt specifically with EHS issues. Also, the number of fulltime staff for EHS was only 1-2 in most of the Korean universities and their work duties included only general safety, while neglecting other health/environment related issues. Conclusions: Well organized and functioning environmental, health and safety offices were present in all of the top 30 research universities in the U.S.A., whereas similar organizations of the universities in South Korea were virtually non-existent and/or had very limited EHS activities. Therefore, in order to reduce potential risks of accidents and health problems in the Korean universities and research institutions, well established and functioning EHS-MSs and EHS offices are warranted. The case of the EHS-MS and EHS Office in the MIT demonstrate a successful case to follow.

Effects of Augmented-Reality Head-up Display System Use on Risk Perception and Psychological Changes of Drivers

  • Hwang, Yoonsook;Park, Byoung-Jun;Kim, Kyong-Ho
    • ETRI Journal
    • /
    • 제38권4호
    • /
    • pp.757-766
    • /
    • 2016
  • This study was conducted to examine the usage effects of an augmented reality head-up display (AR-HUD) system on the risk perception and psychological changes of drivers. To do so, we conducted an experiment to collect the driver response times for vehicles and pedestrians as their risk perception behavior, and used a driving behavior determinants questionnaire consisting of Problem Evading, Benefits/Sensation Seeking, Anti-Personal Anxiety, Anti-Personal Angry, and Aggression factors for collecting the psychological characteristics of the drivers. Thirty drivers were randomly assigned into an in-vehicle AR-HUD using group and a control group. As a result, the Anti-Personal Anxiety and Anti-Personal Angry factors were negatively correlated with the response time for the control group. In contrast, these results were not shown for the in-vehicle AR-HUD system using group. These results indicate that the in-vehicle AR-HUD system may partially induce a relaxation of tension or stress for drivers with a high level of interpersonal anxiety. Therefore, the in-vehicle AR-HUD system might contribute to not only the visual safety driving behaviors of drivers, but also to their psychological driving safety with specific characteristics.

4차 산업혁명 기반 스마트 재난안전관리 대응체계 구축 (Established Smart Disaster Safety Management Response System based on the 4th Industrial Revolution)

  • 강희조
    • 디지털콘텐츠학회 논문지
    • /
    • 제19권3호
    • /
    • pp.561-567
    • /
    • 2018
  • 본 논문에서는 4차 산업혁명을 기반으로 한 스마트 재난안전관리 전 과정에 적용하여 사고나 재난으로부터 인간 사회 경제 환경 피해 등을 최소화하고 빅데이터를 활용한 위험예측 및 위험징후 모니터링 기술에 의한 예측평가와 재난정보수집분석 및 현장상황 실시간 감지 분석에 의한 5세대 통신시스템의 예방, 가상현실과 증강현실을 활용한 몸으로 기억하는 교육과 훈련에 의한 대비, 재난안전관리 의사결정 지원시스템의 인공지능에 의한 대응, 정찰 탐색 및 방재 구호에 위한지능형로봇에 의한 복구와 피해규모 분석 현장상황 공유하기 위한 무인항공기를 활용한 조사 분석의 스마트 재난안전관리 대응체계 구축 전략방안을 제시하였다.

Asbestos Exposure among Mitering Workers

  • Phanprasit, Wantanee;Sujirarat, Dusit;Musigapong, Pirutchada;Sripaiboonkij, Penpatra;Chaikittiporn, Chalermchai
    • Safety and Health at Work
    • /
    • 제3권3호
    • /
    • pp.235-240
    • /
    • 2012
  • The objectives are to compare the airborne asbestos concentrations resulted from mitering of abestos cement roof sheets by a high-speed motor and a hand saw, and to monitor whether other workers near the test sites are vulnerable to the fibers exceeding the occupational exposure limit. Four test cases were carried out and altogether 7 personal and 4 area air samples were collected. The NIOSH method 7400 was employed for the air samplings and analysis. Using the phase contrast microscopy, fiber counting was conducted under Rule A. The study showed that the fiber concentration medians for personal air samples gathered from the two tools were 4.11 fibers/cc (ranged: 1.33-12.41 fibers/cc) and 0.13 fibers/cc (ranged: 0.01-5.00 fibers/cc) respectively. The median for the area samples was 0.59 fibers/cc (ranged: 0.14-3.32 fibers/cc). Comparing each study case, the concentration level caused by the high-speed motor saw was more than twice that of the hand saw. According to the area samples, the workers nearby the test site are at risk from high exposure to asbestos.

아동발달 및 양육 지원서비스의 가족친화적 특성과 다양성이 이용만족도에 미치는 영향 (The Effects of Family Friendliness and Diversity of Support Services for Child Development and Parenting on Parental Satisfaction with Services)

  • 박주희;최혜영
    • 아동학회지
    • /
    • 제35권4호
    • /
    • pp.281-297
    • /
    • 2014
  • The present study aimed to examine the influences of four aspects of family friendliness (i. e., safety, accessibility, convenience, and amenity) and diversity of services designed to support children's development and parenting on parental satisfaction with services. The participants of this study comprised 259 parents (214 mothers and 45 fathers) who had at least one child aged 0 to 11 and lived in Seoul, Gyeonggi-do, Chungcheong-do, or Gyeongsang-do Provinces. The data were analyzed by means of descriptive statistics and multiple regression analyses. Our results indicated that the effects of family friendliness and diversity of services on parental service satisfaction differed by children's developmental level. For parents of elementary school-aged children, the safer the services and the more services they used, the more they were likely to be satisfied with the services provided. In contrast, the safety and the amenity of services had positive influences on parental satisfaction with support services for parents with toddlers while the safety had a significant effect for those who had preschoolers.

서울지역 중.고등학교 조리종사자의 위생관리 수행 및 위생교육 평가 (Evaluation of Foodservice Employees' Sanitary Performance and Sanitary Education in Middle and High Schools in Seoul)

  • 홍완수;임정미
    • 대한영양사협회학술지
    • /
    • 제15권2호
    • /
    • pp.113-127
    • /
    • 2009
  • This study was conducted to evaluate the sanitary performance and education of middle and high school foodservice employees in Seoul, South Korea in order to ensure the foodservice safety and identify why some employees cannot apply learned knowledge in real work situations. Subjects consisted of 217 school foodservice employees who attended a regular sanitary education program under the auspices of the Seoul Gangdong and Gangseo district offices. The sanitary performance was assessed with 5 dimensions (personal hygiene, ingredient control, process control, safety management and sanitary education), and was self-evaluated using a Likert 5 point scale. The data were analyzed using the SPSSWIN Version 12.0 package. The main results of the study showed that according to the general characteristics of middle and high school foodservice employees, 98.2% of respondents were women, and 64.1% of them aged 40-49. A total mean score of 5 items of sanitary performance for middle and high school employees was 4.74. Ingredient control field score was 4.83, process control 4.80 and personal hygiene 4.74. In contrast, the sanitary education field score was 4.56, significantly lower than the total mean score. Safety management field score was 4.71. Verbal education was the main method performed as a sanitary education in schools.

  • PDF

Assessment of Solubility, Heavy Metals and Microbial Safety in Differently- Treated Muscle Tissues of Mackerel Scomber japonicus

  • Asaduzzaman, A.K.M.;Lee, Won-Kyoung;Chun, Byung-Soo
    • Fisheries and Aquatic Sciences
    • /
    • 제17권1호
    • /
    • pp.59-65
    • /
    • 2014
  • We measured the reductions in size and solubility of mackerel muscle that was freeze-dried, deoiled by supercritical carbon dioxide (SC-$CO_2$), or roasted. The percent size reduction and solubility were high in SC-$CO_2$-treated muscle compared with freeze-dried and roasted muscle. We used oil-free residues to test for heavy metals and determine microbial safety. The SC-$CO_2$, hexane, and ethanol were used to separate oil from muscle. The concentrations of cadmium (Cd) in all treated muscles were less than the values reported in the literature, as were the concentrations of lead in SC-$CO_2$- and hexane- treated muscle. In contrast, concentrations of arsenic and mercury in muscles were greater than the reported values regardless of treatment. Zinc and iron, which are beneficial for health, were found in high levels after all treatments of muscle tissue. After 6 months of storage at different temperatures, SC-$CO_2$-and ethanol-treated muscle showed few bacterial colonies, and none were found after 4 months of storage at $-20^{\circ}C$. These results will be useful to food-processing industries for maintaining high-quality, safe mackerel muscle.

공기 중 석면표준시료를 이용한 전처리 방법 비교 연구 (Comparative study of clearing methods for air-borne asbestos analysis)

  • 이광용;신정아;정지연;이인섭;박두용
    • 한국산업보건학회지
    • /
    • 제21권2호
    • /
    • pp.99-102
    • /
    • 2011
  • Objectives: Acetone/triacetine method for clearing cellulose ester membrane (CEM) filter has been a popular method for air-borne asbestos analysis. However, as a weakness of this method, it is time consuming to analyses asbestos samples after sampling. Crystalclear method can be used to analyses asbestos samples promptly after sampling. Although a strength of crystal clear method exists, there was little valid studied for the method. This study was conducted to compare acetone/triacetine method with crystalclear one for analysing asbestos sample. Methods: Test samples made in three different concentration ranges(low, medium and high concentration) were analysed by phase contrast microscopy after acetone/triacetine and crystalclear method treatment respectively. Results: We did not find statistical difference in analysed results between two methods, which were conducted in three different concentrations ranges. Conclusions: We concluded that crystalclear method can be used as clearing method for air-borne asbestos analysis instead of acetone/triacetine method.

Analysis of dislocation density in strain-hardened alloy 690 using scanning transmission electron microscopy and its effect on the PWSCC growth behavior

  • Kim, Sung-Woo;Ahn, Tae-Young;Kim, Dong-Jin
    • Nuclear Engineering and Technology
    • /
    • 제53권7호
    • /
    • pp.2304-2311
    • /
    • 2021
  • The dislocation density in strain-hardened Alloy 690 was analyzed using scanning transmission electron microscopy (STEM) to study the relationship between the local plastic strain and susceptibility to primary water stress corrosion cracking (PWSCC) in nuclear power plants. The test material was cold-rolled at various thickness reduction ratios from 10% to 40% to simulate the strain-hardening condition of plant components. The dislocation densities were measured at grain boundaries (GB) and in grain interiors of strain-hardened specimens from STEM images. The dislocation density in the grain interior monotonically increased as the strain-hardening proceeded, while the dislocation density at the GB increased with strain-hardening up to 20% but slightly decreases upon further deformation to 40%. The decreased dislocation density at the GB was attributed to the formation of deformation twins. After the PWSCC growth test of strain-hardened Alloy 690, the fraction of intergranular (IG) fracture was obtained from fractography. In contrast to the change in the dislocation density with strain-hardening, the fraction of IG fracture increased remarkably when strain-hardened over 20%. From the results, it was suggested that the PWSCC growth behavior of strain-hardened Alloy 690 not only depends on the dislocation density, but also on the microstructural defects at the GB.