• 제목/요약/키워드: Medical Instruments

검색결과 527건 처리시간 0.027초

핵의학 영상기기의 감마선 검출기 (Gamma-ray Detectors for Nuclear Medical Imaging Instruments)

  • 조규성
    • Nuclear Medicine and Molecular Imaging
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    • 제42권2호
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    • pp.88-97
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    • 2008
  • In this review paper, basic configurations of gamma detectors in SPECT and PET systems were reviewed together with key performance parameters of the imaging system, such as the detection efficiency, the spatial resolution, the contrast resolution, and the data acquisition time for quick understanding of the system-component relationship and future design of advanced systems. Also key elements of SPECT and PET detectors, such as collimators, gamma detectors were discussed in conjunction with their current and future trend. Especially development trend of new scintillation crystals, innovative silicon-based photo-sensors and futuristic room-temperature semiconductor detectors were reviewed for researchers who are interested in the development of future nuclear medical imaging instruments.

하악 제1소구치의 표준화 연구 (A Study on the Standardization In the Mandibular First Premolar of the Middle Aged Korean)

  • 이호중;전경진;정동택;조철희
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2005년도 추계학술대회 논문집
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    • pp.252-255
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    • 2005
  • Mandibular first premolars obtained from the middle-aged men about the ages of 50 were scanned using a Micro-CT. A Jig was made for a Micro-CT measurement to get reliable data from irregular teeth shape. Data were measured from the scanned 2-D images by way of measurement software. the methodology fer measurement of the mandibular first premolar was presented and according to this, the standardized mandibular first premolars of middle aged Korean males and females were made by using a rapid prototyping system.

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성과중심교육에서 학생평가 (Assessment in Outcome-Based Education)

  • 임선주
    • 의학교육논단
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    • 제15권1호
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    • pp.25-30
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    • 2013
  • Assessment plays a vital role in outcome-based education (OBE). This article describes the characteristics of assessment and appropriate assessment instruments for measuring learning outcomes in OBE. Assessment in OBE needs to be formative, continuous, and frequent. Miller's pyramid is useful for selecting the appropriate assessment instruments to reflect a specific outcome; different methods can be applied to evaluate one outcome. Outcomes and competency mean that student must 'do'; therefore, performance tests are emphasized. Qualitative methods as well as quantitative methods are used to evaluate the outcomes of areas such as professionalism or ethics. An absolute criterion-based standard is usually applied to decide whether students pass or fail, but the decision should be based on gathering value judgments and reaching consensus. Active participation of faculty members and students in assessment is crucial.

무면허의료행위에 대한 형사법적 쟁점 - 한의사의 초음파기기 사용을 중심으로 - (A Study in the Crimes of the Medical Practice without License - Case of Oriental Medicine's use of Ultrasounds -)

  • 장준혁
    • 의료법학
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    • 제15권1호
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    • pp.35-57
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    • 2014
  • Recently, there has been fierce argument between oriental and western doctors in the medical field. The use of medical devices has particularly come to the fore lately. Appropriate medical devices are required to diagnose and treat patients' conditions or illnesses accurately. At issue recently in medical device sector are diagnostic instruments using radiation, magnetic resonance imaging, ultrasound, IPL(Intense Pulse Light), and instruments used for tonometry. Relating to this issue, Association of Korean Oriental Medicine and The Association of Korean Medicine are sharply opposed. It is predicted that more accusations of this kind will be seen in the future. As oriental medicine contends, ultrasonic imaging itself seems to cause no harm to humans and its use may have an advantage for national health. The use of western diagnostic equipment can expand the diagnostic range of oriental doctors. However, unless new legislation is made, it is against the law for oriental doctors to use this equipment. Both law and medical science require grounds and predictability on the correctness of a decision and all of its consequences. Additionally, oriental medicine's use of ultrasounds and other medical devices should be established by standards and grounds which make same the diagnosis with repetition. Therefore, the scope of oriental medicine can be expanded following a revision of the Oriental Medicine Promotion Act and it is estimated that the state of national health will be greatly improved by the mutual respect of both sides of the health profession.

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Optimization of Reflectron for Kinetic and Mechanistic Studies with Multiplexed Multiple Tandem (MSn) Time-of-flight Mass Spectrometry

  • Bae, Yong-Jin;Yoon, So-Hee;Moon, Jeong-Hee;Kim, Myung-Soo
    • Bulletin of the Korean Chemical Society
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    • 제31권1호
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    • pp.92-99
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    • 2010
  • Photoexcitation of a precursor ion inside a cell floated at high voltage installed in a tandem time-of-flight (TOF) mass spectrometer provides triple tandem mass spectrometric information and allows kinetic and mechanistic studies. In this work, the factors affecting, or downgrading, the performance of the technique were identified. Ion-optical and computational analyses showed that an optimum instrument could be designed by utilizing a reflectron with linear-plus-quadratic potential inside. Theoretical predictions were confirmed by tests with instruments built with different ion-optical layout. With optimized instruments, masses of intermediate ions in the consecutive dissociation of a precursor ion could be determined with the maximum error of $\pm5$ Da. We also observed excellent agreement in dynamical parameters (critical energy and entropy) for the dissociation of a model peptide ion determined by instruments with different ion-optical layout operated under optimum conditions. This suggests that these parameters can be determined reliably by the kinetic method developed previously when properly designed and operated tandem TOF instruments are used.

자살성향 측정척도들의 자살예측력에 대한 고찰 (A Review on Predictive Validity of Suicide Assessment Measures)

  • 박승진;임아영;박수빈;나리지;홍진표
    • 대한불안의학회지
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    • 제9권1호
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    • pp.10-18
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    • 2013
  • The increasing suicide rate is a serious problem in Korea. Because of increased awareness of suicidality as a problem and because completed suicide is the fourth leading cause of death, it is very important to assess the risk of suicide. The purpose of this review is to provide a systematic examination of predictive validity of measures of suicidal ideation and behavior. A number of instruments are described as useful for identifying individuals "at high risk" for suicidal behavior. However, the predictive validity for most suicide measures has not been established. The present review only includes suicide assessment instruments with published predictive validity. In addition to evaluating the suicide assessment with respect to predictive validity, the present review describes and summarizes the psychometric properties of each measure. In conclusion, because of the complexity of studying the risk of suicide and the paucity of well-designed studies, it is extremely difficult to compare and generalize these findings. In addition, only a few instruments, such as the Scale for Suicide Ideation, Suicide Intent Scale and the Beck Hopelessness Scale, have been found to be significant risk factors for completed suicide. Another problem in the field involves that there have been few suicide measures designed for elderly populations. Clearly, future research is needed to investigate the predictive validity of standardized measures for completed suicide, especially targeting elderly populations.

근접장-분자반응 간의 중첩을 이용한 표면 플라스몬 공명 센서 감도 평가에 관한 연구 (Near-field Evaluation of Surface Plasmon Resonance Biosensor Sensitivity Based on the Overlap Between Field and Target Distribution)

  • 류연수;손태황;김동현
    • 한국광학회지
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    • 제24권2호
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    • pp.86-91
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    • 2013
  • 본 논문에서는 근접장-분자반응 간의 중첩을 이용한 표면 플라스몬 공명 (SPR) 바이오센서의 측정감도 평가방법을 연구하였다. 전달행렬 방법을 사용하여 다양한 형태의 중첩적분으로 정의된 광학자취 값을 계산하였고, 샌드위치 및 역샌드위치 면역글로뷸린 (IgG) 어세이에 대해서 실험적으로 측정된 수치와 비교하였다. 이론 및 실험적인 결과와의 비교를 통하여 접선 방향의 전기장을 사용한 광학자취의 경우 그 연속성으로 말미암아 가장 높은 상관계수를 얻을 수 있었으며 이때 광학자취와 측정감도 사이에 97% 이상의 높은 상관계수가 존재함을 보았다. 이러한 상관관계는 SPR 바이오센서의 측정 감도에 관한 메커니즘을 분명하게 설명하며, 분자 스케일 감도를 가지는 SPR 바이오센서 개발에 기여하게 될 것이다.

전국 의료기관의 냉 요법 실무지침 및 임상간호사의 냉 요법 실무 현황 (Nursing Protocols of Cold Application in Different Medical Institutions in Korea)

  • 신용순
    • 임상간호연구
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    • 제21권3호
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    • pp.355-365
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    • 2015
  • Purpose: The purpose of this study was to evaluate nursing protocols for superficial cryotherapy in different medical institutions. Methods: The study was conducted with a cross-sectional descriptive design. The medical institutions including general hospitals, hospitals, and geriatric hospitals were randomly selected. A total of 435 nurses from 126 institutions completed a questionnaire. Data were collected from December 2014 to June 2015. Results: Forty-two institutions (39.5%) had nursing protocol for cryotherapy. The nurses reported that durations of cold application were 2 minutes to 5 hours. Frequently used cold therapy devices in order of frequency were frozen gel packs, ice packs, and frozen IV fluid bags. There were variances in the duration of cold application according to the types of institution ($x^2=7.78$, p=.020) and nursing units ($x^2=26.42$, p<.001). In addition, intervals of cold application were different according to the nursing units (x=12.23, p=.032). There were differences in cold application instruments by regional groups (x=70.38, p<.001). Most of the nurses (95.6%) responded that national nursing protocol for superficial cryotherapy were needed. Conclusion: There were difficulties in providing consistent nursing interventions because of the practical differences and absence of evidence-based guidelines for cryotherapy. The researchers recommend that basic studies with various instruments be conducted and proper nursing protocols be developed for cryotherapy.

척추 수술 후 영상 평가: 초기 및 중장기 합병증 (Imaging Evaluation of Early and Long-Term Complications Associated with the Postoperative Spine)

  • 박재휘;김동현;채지원;김효진;서지운;손진영
    • 대한영상의학회지
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    • 제85권1호
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    • pp.36-53
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    • 2024
  • 척추 수술의 빈도 증가와 더불어 radiography, CT, MRI 등의 의료 영상 촬영 건수도 증가하고 있으며, 이와 관련된 영상 판독의 중요성이 점점 더 커지고 있다. 본 논문에서는 척추 수술 후 발생 가능한 다양한 합병증을 이해하고, 이를 정확하고 효과적으로 진단하는 영상 검사의 중요 소견에 대해 다루고자 한다. 특히, 수술 후 초기 및 중장기 합병증을 구분하여, 각 시기별 특징적인 영상 소견을 자세히 설명한다. 척추 수술 후 초기 합병증으로는 부적절한 수술 기구 배치(instrument malposition), 장액종(seroma), 혈종(hematoma), 거짓수막류(pseudomeningocele), 수술 주변 감염(infection) 등이 있으며, 중장기 합병증으로는 수술 기구 주변의 골용해(osteolysis), 융합 실패(failure of fusion), 인접 분절 질환(adjacent segment disease), 경막외 섬유화 또는 흉터 조직(epidural fibrosis or scar) 형성 등이 포함된다. 이러한 척수 수술 후 발생하는 합병증 관련 영상 평가에 대한 정확한 이해는 척추 수술 후 합병증을 적시에 정확하게 진단하여 효과적인 환자 치료에 기여할 것이다.

헬스케어 재활훈련기 디자인 평가 요소 개발에 관한 연구 (A Study of Evaluation Index Development of Healthcare Rehabilitation Device Design)

  • 조재상;권대규;홍정표
    • 감성과학
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    • 제17권3호
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    • pp.129-142
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    • 2014
  • 오늘날 고령인구의 증가와 장애인 인구의 증가로 인해 재활훈련기의 수요가 증가하고 있고, 재활훈련기와 사용자간의 제공받아야 할 서비스에 대한 평가 요소의 요구가 커지고 있다. 본 연구에서는 재활훈련기 디자인 평가에 있어서 평가 방안을 모색하기 위해 디자인 평가를 위한 기본 요소를 파악하고 이를 통하여 재활의료전문가, 의공학자, 디자이너들의 토의 및 분석, 실험을 통하여 새로운 평가 요소들을 도출하였다. 연구의 결과는 다음과 같이 요약된다. 첫째, 기존 디자인 평가 요소들을 수집, 분석하여 10가지의 재활훈련기 디자인 평가요소와 44개의 세부 평가항목을 구축하였다. 이는 앞으로 재활훈련기를 디자인하는데 있어서 중요한 평가 기준이 될 것이다. 둘째, 헬스케어 재활훈련기 디자인 개발 시 고려해야 할 디자인 평가요소로는 사용성, 인지성, 안전성, 학습성, 운동성, 내구성, 경제성, 공간성, 심미성, 환경성의 10가지 디자인 평가요소가 있다. 셋째, 환경성, 공간성, 인지성, 사용성, 경제성, 심미성의 디자인 평가요소는 제품디자인에서 공통적으로 고려해야 할 요소들이고, 학습성, 안전성, 운동성, 내구성의 요소는 재활훈련기 디자인 평가요소에서 매우 중요하게 고려해야 할 요소이다. 넷째, 재활훈련기 디자인 평가요소는 제품디자인요소에서 중요하게 고려되는 환경성, 공간성, 인지성, 사용성, 경제성, 심미성에 학습성, 안전성, 운동성, 내구성을 의 요소를 더해 중요하게 생각한 것이 기존 제품디자인 평가요소와 재활훈련기 디자인 평가요소의 차이점이다. 본 연구에서는 10개의 재활훈련기 디자인 평가요소와 44개의 세부 평가항목 구축에 대한 연구를 진행하였다. 이는 전체적인 재활훈련기 디자인 평가요소만을 연구한 것으로, 향후연구에서는 시 제품 제작을 통하여 평가요소들을 실제 재활훈련기 디자인에 적용해 보고, 미진한 점들을 수정 보완할 예정이다.