• Title/Summary/Keyword: Medical Examination Result

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Perception Level of Nurses and Auxiliary Nurses for Radiological technologist (간호사와 간호조무사가 지각하는 방사선사 인식도)

  • Shin, Seong-Gyu
    • The Journal of the Korea Contents Association
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    • v.11 no.8
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    • pp.211-220
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    • 2011
  • The study conducted a survey on the perception level for radiological technologists with 321 nurses and auxiliary nurses working at university hospitals in Busan in order to supply preliminary data to enhance the status as well as professional images of radiological technologists. The result shows the perception level of $3.02{\pm}0.42$ with the highest score for the professional image and the lowest score for the business image. By question, 'they are professional' gets the highest score while 'they understand problems of patients well' gets the lowest. Among respondents, those who are well aware of education courses as well as leading organization of examination and who answer as a health care provider or a medical technician under the medical law show a high level of perception while those who answer as technician show a low perception level. Those who agree with radiologists as a career and consider their status as high in medical institutions have a high level of perception. In order to improve the perception level, individuals as well as associations' promotion and strategies are required to fix the title and enhance the negative images through active interests and kind attitudes toward patients. Also, efforts to escape from previous images limited to technical colleges, to vitalize academic conference and remedial education, and to frame the law of professional radiological technologists system are asked to heighten the qualification and status of radiological technologists. More than that, advertising and monitoring via mass media are needed to develop the image as professional career men as well.

A Study on the Morphology of Dysmorphic Erythrocytes for the Differential Diagnosis in Hematuria (혈뇨의 감별진단을 위한 이형적혈구의 형태학적 연구)

  • Yoon, Chul-Jong;Park, Chung-Oh;Moon, Hi-Joo;Yoon, Ki-Eun
    • Applied Microscopy
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    • v.29 no.3
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    • pp.331-341
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    • 1999
  • Examination of the morphology of red blood cells in the urine has been shown to be a promising adjunct in determining whether hematuria represents glomerular or nonglomerular bleeding. This is due to distortion of RBCs as they Pass across the basement membrane of the glomerular capillaries. It is concluded that is method can greatly help the clinician in distinguishing between glomerular and nonglomerular bleeding in patients with hematuria and channeling such patients toward the most appropriate investigations. We have experimented dysmorphic red blood cells that 5 patients of the hematuria are distorted with irregular outlines and often have small blobs extruding from the red cell membrane. Tried urinary sediments were seen with phase contrast microscope and confirmed scanning electron microscope. There are seen acanthocytes, anulocytes, ghost cells and sphero-echinocytes in dysmorphic erythrocytes. Clinical diagnosis was referred from the result of the biopsy-proven. Scanning electron microscopic findings of the hematuria are good diagnostic tool that disclose in distorted red blood cells from patients with glomerular disorders.

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Dose Reduction Effect by using Compression Band during Chest CT Examination in Female Patients (여성의 흉부 CT 검사 시 압박밴드 사용에 따른 선량 감소효과)

  • Kim, In Soo;Cho, Yong In
    • Journal of the Korean Society of Radiology
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    • v.15 no.4
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    • pp.445-453
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    • 2021
  • CT scan is reported to have a high risk of cancer due to a relatively high dose among medical radiological examinations. In particular, exposure to radiation to the breast, which is sensitive to radiation, is inevitable during a chest CT scan for female patient. In this study, the dose reduction effect of wearing a compression band during chest CT scans in women was evaluated, and the lifetime attributable risk due to the effective dose exposed during the CT scan was estimated. As a result, when the compression band was used, the effective tube current decreased as the outer perimeter of the chest became smaller, and it was analyzed that the CT dose index and effective dose were also reduced. In addition, the lifetime attributable risk by chest CT scan was found to reduce the cancer risk by 3.2 per 100,000 for all cancers, 0.2 per 100,000 for solid cancer, and 0.8 per 100,000 for breast cancer, based on women in their 30s when using a compression band. It is judged that the risk of cancer can be reduced through the use of appropriate scan parameters and dose optimization measures such as compression bands for future CT examinations.

Analysis of Photon Spectrum for the use of Added Filters using 3D Printing Materials (3D 프린팅 재료를 이용한 X-선 부가 여과 시 광자 스펙트럼에 대한 분석)

  • Cho, Yong-In;Lee, Sang-Ho
    • Journal of the Korean Society of Radiology
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    • v.16 no.1
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    • pp.15-23
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    • 2022
  • 3D printing technology is being used in various fields such as medicine and biotechnology, and materials containing metal powder are being commercialized through recent material development. Therefore, this study intends to analyze the photon spectrum during added filtration using 3D printing material during diagnostic X-ray examination through simulation. Among the Monte Carlo techniques, MCNPX (ver. 2.5.0) was used. First, the appropriateness of the photon spectrum generated in the simulation was evaluated through SRS-78 and SpekCalc, which are X-ray spectrum generation programs in the diagnostic field. Second, photon spectrum the same thickness of Al and Cu filters were obtained for characterization of 3D printing materials containing metal powder. In addition, the total photon fluence and average energy according to changes in tube voltage were compared and analyzed. As a result, it was analyzed that PLA-Al required about 1.2 ~ 1.4 times the thickness of the existing Al filter, and PLA-Cu required about 1.4 ~ 1.7 times the thickness of the Cu filter to show the same degree of filtration. Based on this study in the future, it is judged that it can be utilized as basic data for manufacturing 3D printing additional filters in medical fields.

Study on the Education Curriculum and Clinical Practice of Medical Technologists (임상병리사 교육과정 및 임상실습에 대한 연구)

  • Yang, Byoung-Seon;Choi, Se-Mook;Shim, Moon-Jung;Kim, Chung-Hwan;Bae, Hyung-Joon;Yook, Keun-Dol;Kim, Yoon-Sik;Lim, Yong;Kang, Ji-Hyuk;Kim, Hong-Sung;Kim, Dong-Chan;Shin, Gyeonghee;Lee, Sang-Hee
    • Korean Journal of Clinical Laboratory Science
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    • v.50 no.3
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    • pp.320-330
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    • 2018
  • This study analyzed the curriculum and clinical practicum of the department of clinical laboratory science in Korea. The 2017 educational curricula of all 3-year and 4-year universities were analyzed. Clinical practice was conducted by a questionnaire. As a result of curriculum analysis, the 3-year curriculum was able to grasp the curriculum that focused on the national examinations of medical technologists, and the 4-year curriculum was open to a variety of subjects reflecting the changes in the future, but only at a few universities. In addition, the autonomous enrollment application made it possible to take a national examination without enrolling in courses that students find difficult in major courses. In the case of clinical practice, it was difficult to standardize in various practical institutes, practice periods, and practice credits. Therefore, it will be necessary to standardize the composition of the credits according to the duration of clinical practice and the duration of education. Moreover, is necessary to revise the curriculum in consideration of medical technologist job analysis and clinical field, and it will be necessary to standardize the curriculum and clinical practice model through the Medical Technologist Evaluation Center.

Usefulness of Dynamic $^{18}F-FDG$ PET Scan in Lung Cancer and Inflammation Disease (폐암과 폐 염증성질환의 동적양전자방출단층검사 (Dynamic $^{18}F-FDG$ PET)의 유용성)

  • Park, Hoon-Hee;Roh, Dong-Wook;Kim, Sei-Young;Rae, Dong-Kyeong;Lee, Min-Hye;Kang, Chun-Goo;Lim, Han-Sang;Oh, Ki-Back;Kim, Jae-Sam;Lee, Chang-Ho
    • Journal of radiological science and technology
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    • v.29 no.4
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    • pp.249-255
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    • 2006
  • Purpose: The diagnostic utility of fluorine-18 2-deoxy-D-glucose positron emission tomograhpy ($^{18}F-FDG $PET) for the non-invasive differentiation of focal lung lesions originated from cancer or inflammation disease by combined visual image interpretation and semi-quantitative uptake value analysis has been documented. In general, Standardized Uptake Value(SUV) is used to diagnose lung disease. But SUV does not contain dynamic information of lung tissue for the glucose. Therefore, this study was undertaken to hypothesis that analysis of dynamic kinetics of focal lung lesions base on $^{18}F-FDG$ PET may more accurately determine the lung disease. So we compared Time Activity Curve(TAC), Standardized Uptake Value-Dynamic Curve(SUV-DC) graph pattern with Glucose Metabolic Rate(MRGlu) from Patlak analysis. Methods: With lung disease, 17 patients were examined. They were injected with $^{18}F-FDG$ over 30-s into peripheral vein while acquisition of the serial transaxial tomographic images were started. For acquisition protocol, we used twelve 10-s, four 30-s, sixteen 60-s, five 300-s and one 900-s frame for 60 mins. Its images were analyzed by visual interpretation TAC, SUV-DC and a kinetic analysis(Patlak analysis). The latter was based on region of interest(ROIs) which were drawn with the lung disease shape. Each optimized patterns were compared with itself. Results: In TAC patterns, it hard to observe cancer type with inflammation disease in early pool blood area but over the time cancer type slope more remarkably increased than inflammation disease. SUV-DC was similar to TAC pattern. In the result of Patlak analysis, In time activity curve of aorta, even though inflammation disease showed higher blood activity than cancer, at first as time went by, blood activity of inflammation disease became the lowest. However, in time activity curve of tissue, cancer had the highest uptake and inflammation disease was in the middle. Conclusion: Through the examination, TAC and SUV-DC could approached the results that lung cancer type and inflammation disease type has it's own difference shape patterns. Also, it has outstanding differentiation between cancer type and inflammation in Patlak and MRGlu analysis. Through these analysis methods, it will helpful to separation lung disease.

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The Assessment on Health Status of Workers by using HPLP and Sa-sang Constitutional Questionnaire (HPLP와 사상체질설문(四象體質說問)을 이용(利用)한 근로자(勤勞者)들의 건강상태(健康狀態) 평가(評價))

  • Choi Mun-Il;Lee Eun-Kyoung;Kwon So-Hee;Ko Kwang-Jae;Seo Byeong-Yun;Jeoung Jae-Yeal;Jahng Doo-Sub;Song Yung-Sun;Lee Ki-Nam
    • Journal of Society of Preventive Korean Medicine
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    • v.5 no.1
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    • pp.41-56
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    • 2001
  • Overview: The purpose of this study was to evaluate the determinants on the correlation between constitution and health promoting lifestyle profile on the workers. Also, the questionnaire on the HPLP (health promoting lifestyle profile) of Walker(1987) and Sa-sang constitution of Lee(l894) were utilized Methods: Data from a representative sample of 652 workers were analyzed Pearson's chi-square test analysis was utilized to test the explanatory causal model and to determine the direct and indirect effects of independent variables on quality of life. Results: Constitutional distribution among exposed group, were Tae-eum In(43.7%), So-eum In(33.6%), and So-yang In(22.7%). The degree of the subjects practicing health promoting lifestyle, on a scale of 1 to 4, is an average of 2.62, personal relations 2.94, self-realization 2.86, stress management 2.71, nutrition 2.68, responsibility for health 2.37, and exercise 2.21, with personal relations earning the highest points and exercise the lowest As for factors influencing health promoting lifestyle, there is significant difference between sex and age. That is female and higher age. On the difference between constitution and health promoting lifestyle, Tae-eum In is the highest all area except personal relations. So-eum In is the lowest all area except responsibility for health. Conclusions: Tae-eum In totally do health promoting lifestyle well but So-eum In relatively not. On the Study we used the HPLP(health promoting lifestyle profile) on the premise that each person's daily life, the attitude and the practice level to the health have an influence on the health. So in the constitution there is a little differences in the consideration and the practice level and health condition will be different. On this study we finish up by knowing about the health promoting lifestyle. But on next time we will have to go on studying about the sign and the comparison with the result of western and oriental medical health examination to the each constitution on carrying out continuously oriental medical health examination.

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Investigation on Education of Radiological Technology in Junior College (전문대학(專門大學)의 방사선과(放射線科) 교육(敎育)에 관(關)한 조사연구(調査硏究))

  • Choi, Jong-Hak;Kim, Young-Ill;Jeon, Man-Jin
    • Journal of radiological science and technology
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    • v.5 no.1
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    • pp.77-95
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    • 1982
  • The result of this study from surveying and analyzing the present situation of educational institutes of radiologic technology, educational situation of radiologic technology, and students' attitude and recognition about the education of radiologic technology, the faculty's thought of it throughout the country from October, 1981 to April, 1982 is as follows: 1. The total number of educational institutes for radiologic technology is 11, but all of them are private colleges classified by foundation and 1,414 freshmen were admitted to enter the colleges by admission quotas of students at present in March, 1982. 2. The number of male(1965-1982) is 3,046(78.0%), that of female is 856(22.0%), and total of them is 3,904 that graduated from the departments of radiologic technology in 9 junior colleges in Korea. 3. The number of the instructional staffs in radiologic technology in Korea is 32, but among them 1 professor, 1 associate professor, 16 assistant professors and 14 full-time instructors. 4. The credits for graduation are 80-96 credits and students need required liberal arts and required major studies to get the qualification for graduation. 5. In the national examination for radio-technologist license, total 7,150 persons took the examination, but only 2,796 persons passed it, therefore, the average passed rate is 39.1% from the year 1965 to 1982. 6. 61.3% of students expressed dissatisfaction about their campus lives, the reason of which is mainly poor educational facilities(26.7%), insufficient number of faculty(21.2%) and negative Recognition on junior college from society, etc. 7. About the education of their major studies of colleges, 70.9% of students answered that they were short of laboratory works and clinical trainings rather than theoretical lessons. 8. The chief problem in practice works is about facilities and equipemtns for practice (students 39.1%, faculty 68.8%), and about the fact that too many students usually work at a time(students 17.1%, faculty 21.9%), etc. 9. 87.4% of students and 93.8% of faculty answered that clinical training in school is necessary. 10. Students' viewpoints on the radiologic technologist and the attitudes on the profession as a radiologic technologist are approximately affirmative. 11. Fields of employment to advance after graduation are mainly the fields related to their major studies(hospital, clinic, health clinic, industrial companies related and military officers of medical technology, etc.), which fields arc predominant to 74.5% rather than non-related fields(enrols into 4 year colleges, etc.). 12. 85.2% of students, 87.5% of the faculty expressed their opinions that the present academic years of 2 should be lengthened more. 13. 90.7% of the faculty expressed their opinions that the present students quotas should be reduced in whole or in part.

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A Fundamental Study on the Fabrication of Human Model Bone Phantom using an Entry-Level 3D Printer: using FDM Method for the Femur Model (보급형 3D 프린터를 이용한 인체 모형 뼈 팬텀 제작의 기초연구: Femur 대상으로 적층형 출력 방식 이용)

  • Namkung, Eun-Jae;Kim, Do-Hee;Kim, So-Hui;Park, Se-Eun;Jung, Dabin;Park, Sang-Hyub;Heo, Yeong-Cheol
    • Journal of the Korean Society of Radiology
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    • v.14 no.5
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    • pp.651-660
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    • 2020
  • The purpose of this study was to create a phantom with a HU value similar to that of the human Femur using a 3D printer to replace the existing pig bone. A total of 372 people were analyzed to determine the HU value of human Femur. Using a 3D printer, a human bone model phantom was fabricated using PLA-Cu 20% and subjected to CT examination. Pig bones were 6 months old pigs, and bones 2 days after slaughter were used. As a result of the examination, the 3D printing phantom made with 80% of the internal filling showed a similar value to all data of the human body (p<0.05), and there was a difference from the pig bone (p>0.05). In addition, in the case of the HU value of Femur by age group, it was confirmed that the value of HU decreased as the age group increased (p<0.05). 3D printing and HU values confirmed a weak negative correlation with respect to the stacking height, but confirmed a strong positive correlation (R2 = 0.996) with 182.13±1.290 in the inner filling (p<0.05). In conclusion, it was confirmed that the human body model phantom using 3D printing can exhibit a similar level of HU value to the human body compared to the existing pig bone phantom, and this study will provide basic data for the production of a human body model phantom using a 3D printer.

A Study on The Health Status of Island Community People in Island (도서지역 주민의 건강상태에 관한 연구)

  • Shin, Kyung Rim
    • Korean Journal of Adult Nursing
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    • v.12 no.2
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    • pp.296-310
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    • 2000
  • During the past 10 years, concern for community people's health has increased together with the changes. Public health policies and studies for community people's health, however, have influenced those in childmaternal health care to want more general coverage and studies of health and wellness. Particularly, the study of community people's health in the extent an island area is almost rare as that personal and the material benefits in this area are lacking of community people's work is large, and the basic elements of living, such as diet and elimination, are irregular due to the schedule of the tide. Thus, there are many potential health problems. In this regard, the study attempted to understand the health problems of island community people and to provide a basis for developing health promotion and health education programs. In collecting data for the study, face to face interviews were made through a structured questionnaire from October 1 to December 30, 1996. Collected data were analyzed with the SAS statistics program, descriptive statistics, t-test and ANOVA. Subjects' health status was examined by classifying into such categories as their health perception, complaints of health problem, related lifestyle, psychosocial health staus, the result of examination is as follows; 1. For subjects' health perception, 26.9% of the subject answered not sick, but not so healthy'; 30.9% thought they were healthy, while 22.9% answered that they were not healthy. 2. For the health problem complaints many complained of pains in their muscles and skeletal system, especially knee joint pain. Women's health problems related with breast and the reproductive system included 52.3% of cases doing breast self examination, while 56.55% received the cervical cancer screening test. In men's health problems, 44.2% of subjects answered that they have moderate to severe BPH(Benign Prostatic Hypertrophy) symptom. 3. There were statistically a significant difference in the degree of physical health according to marital status(p=0.0028), occupation(p=0.0442), income(p=0.0357). 4. For stress status, 17.2% was to need the intervention, 50.2% was to need observation. 5. The mean score of self-esteem was 27.7 showing a relatively high score. 6. For the rate of smoking, 37.7% used to smoke, while 28% used to take alcohol. 7. The rate of substance abuse was 45.9% of subjects. 8. Most of subjects' health behaviors included most of the acupuncture (52%). 9. The rate of subjects receiving comprehensive medical testing was 34.36% while 34.78% did after care managing behavior. 10. For the obesity grade, 53% is normal weight, low-weight 32.8%, obesity 33%. 11. For nutrition status, 78.7% illy balanced to need intervention of nutritional education. 12. For 78.7% of subjects, muscle strength and 40.7% of stretching were not good enough to need health education on physical exercises. Therefore, based on the results, appropriate health education programs need to be developed to promote health of community people on an island.

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