• Title/Summary/Keyword: Health Technology Assessment

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Design and Implementation of Web-based Problem Management System for CT Radiological Technologist Education (CT 전문방사선사 교육을 위한 웹기반 문항관리 시스템의 설계 및 구현)

  • Shin Yong-Won;Koo Bong-Oh;Shim Choon-Bo
    • The Journal of the Korea Contents Association
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    • v.5 no.1
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    • pp.27-35
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    • 2005
  • Recently, despite of the rapid progress of information technology in the medical and health fields, the development and management of problem sets about medical and education contents related with radiological technologist has been still achieved by manual and offline method using document editor. In this study, the unique web-based problem management system is designed and implemented. That system can efficiently manage and present various kind of problem set about integrated education and personal license without time and space limitations in order to improve the efficiency of supplementary training and to obtain the professional license for CT radiological technologist. The proposed system is composed of administration module and user module. The former supports several functions such as problem creation, problem categorization, user management, and adjustment of leveled assessment. On the other hand, the latter functions examination applying , problem retrieval, personal score retrieval, and interpretation viewing, and so on. In addition, our system is expected as a useful and practical system which provides problem interpretation and analysis of score results after applying for the examination. It can elevate ability of learning and information interchange among them preparing for CT professional radiological technologist licensing examination

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National Data Analysis of General Radiography Projection Method in Medical Imaging (영상의학검사 일반촬영 분야의 촬영기법에 대한 분석)

  • Kim, Jung-Su;Kim, Jung-Min;Lee, Young-Han;Seo, Deok-Nam;Choi, In-Seok;Nam, So-Ra;Yoon, Yong-Su;Kim, Hyun-Ji;Min, Hye-Lim;Her, Jea;Han, Seong-Gyu
    • Journal of radiological science and technology
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    • v.37 no.3
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    • pp.169-175
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    • 2014
  • According to database of medical institutions of health insurance review & assessment service in 2013, 1118 hospitals and clinics have department of radiology in Korea. And there are CT, fluoroscopic and general radiographic equipment in those hospitals. Above all, general radiographic equipment is the most commonly used in the radiology department. And most of the general radiographic equipment are changing the digital radiography system from the film-screen types of the radiography system nowadays. However, most of the digital radiography department are used the film-screen types of the radiography system. Therefore, in this study, we confirmed present conditions of technical items for general radiography used in hospital and research on general radiographic techniques in domestic medical institutions. We analyzed 26 radiography projection method including chest, skull, spine and pelvis which are generally used in the radiography department.

Distribution and exposure assessment of indicator PCBs in Food (식품 중 indicator PCBs의 분포와 노출평가)

  • Oh, Keum-Soon;Suh, Jung-Hyuck;Paek, Ok-Jin;Park, Seong-Soo;Na, Young-Joon;An, Yeong-Sun;Kim, Mee-Hye;Lee, Kwang-Ho
    • Analytical Science and Technology
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    • v.23 no.3
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    • pp.312-321
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    • 2010
  • Seven indicator PCBs (IUPAC nos 28, 52, 101, 118, 138, 153, 180 congeners) concentrations were measured in food samples including cereal (polished rice), meats, eggs, milk and dairy products, and fisheries and products as representation for the general Korean populations during 2006-2007, and was analyzed using isotopic dilution method. Fishes had the highest average level as 39.8 ng/g, 1.4 ng/g for milk and dairy products, and 0.9 ng/g for meats. The hairtail out of fishes was contaminated at the level of 15.4 ng/g, 5.4 ng/g for pacific mackerel and spanish mackerel, and 4.5 ng/g for yellow croaker. The ratio for indicator PCBs in overall food was contributed as follows; 35.8% for PCB-153, 16.2% for PCB-138, 16.1% for PCB-101, 13.4% for PCB-118, 8.8% for PCB-180, 6.9% for PCB-52, and 2.9% for PCB-28. The hexa-CBs including PCB-153 and 138 were more predominated, and the next was penta-CBs including PCB-101 and 118 in food. For estimated daily intake (EDI) in average and $95^{th}$ percentile, fishes and products out of overall food were taken to represent over 50%. However, it was estimated that there was no adverse health effect for Korean.

Seasonal Field Assessment of Odor Emitted from Livestock Manure Composting Facility (가축분뇨 자원화시설에서 발생되는 암모니아와 황화수소의 계절별 현장 평가)

  • Kim, Ki Youn
    • Journal of Animal Environmental Science
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    • v.21 no.2
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    • pp.41-46
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    • 2015
  • The objective of this study is to measure the levels of ammonia and hydrogen sulfide in livestock manure composting facility according to seasonal condition. Mean concentrations of ammonia in livestock manure composting facility were 84.3 (${\pm}15.2$) ppm for spring, 115.2 (${\pm}34.7$) ppm for summer, 76.2 (${\pm}18.9$) ppm for autumn, and 38.1 (${\pm}10.4$) ppm for winter, respectively. Based on the results obtained from this study, the seasonal levels of ammonia in livestock manure composting facility were highest in summer followed by autumn, spring and winterroom (p<0.05). Mean concentrations of hydrogen sulfide in livestock manure composting facility were 7.46 (${\pm}2.24$) ppm for spring, 9.42 (${\pm}2.82$) ppm for summer, 8.15 (${\pm}3.06$) ppm for autumn, and 10.18 (${\pm}4.11$) ppm for winter, respectively. The livestock manure composting facility showed the highest levels of hydrogen sulfide in winter followed by summer, autumn and spring. However, there was no significant difference of hydrogen sulfide concentration among seasons (p>0.05).

Residue and Risk Assessment of Polychlorinated dibenzo-p-dioxin/dibenzofurans in the Korean Population (다이옥신류에 의한 한국인의 폭로 현황 및 리스크 평가)

  • Kang, Youn-Seok;Park, Jong-Sei;Min, Byung-Yoon
    • Analytical Science and Technology
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    • v.15 no.3
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    • pp.270-286
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    • 2002
  • The human adipose and milk samples analyzed in this study were collected at hospitals in Seoul, Masan and Jinju. The mean values of International Dioxin Toxic Equivalents (I-TEQ) of PCDDs and PCDFs in human adipose samples from the three regions were calculated as 9 pg I-TEQ/g(0.2 ~ 30 pg TEQ/g, lipid weight basis) and 8 pg I-TEQ/g (0.8 ~ 25 pg TEQ/g), respectively. The residue levels of PCDDs-TEQ and PCDFs-TEQ in human milk collected from Masan were 13 pg I-TEQ/g (lipid wt.) and 4.8 pg I-TEQ/g, respectively. On the whole, the contamination levels of these compounds in the Korean population were lower than those in the other countries. Based on the analytical data and assuming a daily intake consumption of 800 mL milk with 3% fat, the average daily intake of PCDDs/DFs via human milk for a baby weighing 5 Kg could be calculated. The daily intake of PCDDs/DFs via breast-feeding was estimated to be 39 pg/kg body weight/day for 2,3,7,8-TeCDD and 86 pg/kg/day for TEQ. These levels are far above all virtually safe dose(VSD) or tolerable daily intake(TDI) values proposed by health authorities in various countries, ranging from 0.001(US EPA) to 4 pg/kag/day (WHO).

Exposure assessment of dioxins through foods (식품을 통한 다이옥신류의 노출 평가)

  • Oh, Keum-Soon;Suh, Jung-Hyuck;Paek, Ock-Jin;Kim, Mee-Hye;Lee, Kwang-Ho
    • Analytical Science and Technology
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    • v.23 no.6
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    • pp.595-606
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    • 2010
  • A total 221 samples of the retailed foods collected from 2004 to 2007 was examined to estimate the level of dioxins(29 congeners) by the isotopic dilution method, and the exposure of population of Korean to dietary of dioxins was performed. Dioxins levels were calculated using TEF values established in 1998 and 2005, respectively. The average levels (pg TEQ/g) were less than 0.01 for polished rice, 0.04 (poultry)-0.13 (beef) for meats, 0.04 (milk)-0.05(cheese) for milk and dairy products, 0.13 for egg (york, only) and 0.11 (alaska pollack)-1.35 (pacific mackerel) for fishes. The estimated daily intake of Korean through foods was 0.47 pg TEQ/kg bw/day, and it was estimated as about 11% to tolerable daily intake (TDI; 4 pg TEQ/kg bw/day) of Korea and Japan. Consequently, it was concluded that there was no health risk.

Bioanalytical method validation for determination of arsenic speciation in dog plasma using HPLC-ICP/MS (Dog 혈장 중 HPLC-ICP/MS를 이용한 비소 화학종 분석법 검증)

  • Kim, Jong-Hwan;Kwon, Young Sang;Shin, Min-Chul;Kim, Su Jong;Seo, Jong-Su
    • Analytical Science and Technology
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    • v.29 no.5
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    • pp.234-241
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    • 2016
  • The approach presented in this article refers to the bioanalytical method validation for the detection and quantitative determination of arsenic species including arsenite (As(III)), arsenate (As(V)), dimethylarsinic acid (DMA) and monomethylarsonic acid (MMA) in dog plasma by high-performance liquid chromatography inductively coupled plasma mass spectrometry (HPLC-ICP/MS). The arsenic species were separated using an agilent As speciation column by a mobile phase of 2 mM sodium phosphate monobasic, 0.2 mM ethylenediaminetetraacetic acid disodium salt dehydrate, 10 mM sodium acetate, 3 mM sodium nitrate and 1 % ethyl alcohol at pH 11 (adjusted with 1M NaOH). The method validation experiment was obtained selectivity, linearity, accuracy, precision, matrix effect, recovery, system suitability, dilution integrity and various stabilities. All calibration curves showed good linearity (R2>0.999) within test ranges. The lower limit of quantitation (LLOQ) was 5 ng/mL for As(III), As(V) and DMA, and 20 ng/mL for MMA. The system suitability and dilution values were within 6.5 % and 7.7 %. Subsequently, the developed and validated HPLC-ICP/MS method was also successfully applied to determine the arsenic speciation in dog plasma samples, and the recoveries for the spiked samples were in the range of 91.5–102.2 %. Therefore, this method could be applied to the evaluation of arsenic exposure, health effect assessment and other bio-monitoring studies in biological samples.

The Review of Exposure Index in Digital Radiography and Image Quality (디지털 영상에서 화질관리에 관한 노출지수(EI)의 유용성 연구)

  • Yang, Sook;Han, Jae Bok;Choi, Nam Gil;Lee, Seong Gil
    • Journal of Radiation Protection and Research
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    • v.38 no.1
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    • pp.29-36
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    • 2013
  • The aim of this study was to determine the correlation between exposure index (EI) and dose factors related to radiation dose optimization in digital radiography (DR) system. Two phantoms with built-in regional test object for quantitative assessment of images were used to produce image signals that acquired in chest radiography background. EI and entrane surface dose (ESD) increased proportionally with rise of radiation dose (kVp, mAs) in both DR and CR systems. Especially, DR detector was effective to form good contrast and hence, reached easily to improvement of image quality with minimal dose changes. It made operators possible to expect the accuracy of EI values deeply related to absorbed dose of the detector. The evaluation of images was obtained specially employed calculation of noise to signal ratio (NSR) and contrast to noise ratio (CNR). These measurements were performed for how exposure factors affect image quality. NSR was inversely proportional to kVp and mAs and low NSR represented high signal detection efficiency. Consequently, EI values was the measure of the amount of exposure received by the image receptor and it was proportional to exposure factors. Therefore the EI in a recommended range from manufacturer can offer optimal image quality. Also, continuous monitoring of EI values in the digital radiography can reduce the unnecessary patient dose and help the quality control of the system.

Construction of MIRD-type Korean Adult Male Phantom and Calculation of Dose Conversion Coefficients for Photon (한국 성인남성 MIRD형 모의피폭체 제작 및 광자 외부피폭 선량환산인자 산출)

  • Park, Sang-Hyun;Lee, Choon-Sik;Lee, Jai-Ki
    • Journal of Radiation Protection and Research
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    • v.29 no.2
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    • pp.97-104
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    • 2004
  • MIRD-type Korean adult male phantom, 'KMIRD' was constructed to calculate Korean-specific dosimetric quantities for radiation protection consideration. The external shape of KMIRD was based on national physical standard data of Korean. KMIRD has thicket trunk than MIRD5 and arm models divided from trunk. The height and weight of the KMIRD are 171 cm and 63.8 kg. ICRP23 data were referred to constitute organs and tissues of KMIRD. However nine organs were constructed based on Korean reference data provided by Radiation Health Research Institute. In the present study, the MCNPX2.3 Monte Carlo transport code was combined with KMIRD to calculate dose conversion coefficients for photon in the energy range from 0.05 to 10 MeV. The simulated irradiation geometries are broad parallel photon beams in AP, PA, LLAT and RLAT direction. Absorbed dose conversion coefficients were compared with data calculated with MIRD5, MIRD-type phantom based on ICRP23 reference man. In some organs, the discrepancies between two phantoms amount up to nearly 30%. The effective doses conversion coefficients of KMIRD are lower than those of MIRD5. The dose discrepancies between two MIRD-type phantoms ate because of physical differences between Korean and Western, also geometric differences between two phantoms. KMIRD should be revised using the full set of Korean reference data of all organs. The developed MIRD-type Korean adult male phantom can be applied to dose assessment of internal exposure.

Theory of X-ray microcomputed tomography in dental research: application for the caries research (치과 분야 연구에서 미세전산화 단층촬영술의 이론: 치아우식증에 대한 적용)

  • Park, Young-Seok;Bae, Kwang-Hak;Chang, Ju-Hea;Shon, Won-Jun
    • Restorative Dentistry and Endodontics
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    • v.36 no.2
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    • pp.98-107
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    • 2011
  • Caries remains prevalent throughout modern society and is the main disease in the field of dentistry. Although studies of this disease have used diverse methodology, recently, X-ray microtomography has gained popularity as a non-destructive, 3-dimensional (3D) analytical technique, and has several advantages over the conventional methods. According to X-ray source, it is classified as monochromatic or polychromatic with the latter being more widely used due to the high cost of the monochromatic source despite some advantages. The determination of mineral density profiles based on changes in X-ray attenuation is the principle of this method and calibration and image processing procedures are needed for the better image and reproducible measurements. Using this tool, 3D reconstruction is also possible and it enables to visualize the internal structures of dental caries. With the advances in the computer technology, more diverse applications are being studied, such automated caries assessment algorithms.