• 대한치과의사협회지
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• 제52권3호
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• pp.147-152
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• 2014

Recently the patient exposure by medical and dental x-ray examination has grown rapidly and diagnostic radiology represents the largest source of man-made radiation. For the patient protection, the principle of justification and optimization should be followed. All the radiographic examinations have to show a potential benefit to the patient weighing against the potential risk. After they are justified, the radiographic exposure should be kept as low as reasonably achievable, taking into account economic and social factors. For the safe use of radiation in dentistry, the radiation safety management in accordance with the legislation is important. The present status and the future of radiation safety management in dental radiology in Korea and other country will be discussed.

• 대한방사선기술학회지:방사선기술과학
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• 제17권1호
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• pp.49-54
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• 1994

This study was conducted to find out the medical exposure dose in simple abdomen A-P projection of adults, based on the 87 hospitals located in Seoul. As the results, the following conclusions have been reached; 1. 88.5 % of the surveyed hospitals had the use of $65\;kVp{\sim}79\;kVp(M{\pm}SD:71.45{\pm}4.73\;kVp)$ as tube voltage. 2. 87.35 % of the surveyed hospitals had the use of $50\;mAs{\sim}89\;mAs(M{\pm}SD:64.31{\pm}16.21\;mAs)$ as the amount of current. 3. Shallow doses ranged from 2.00 mSv to 4.99 mSv($M{\pm}SD:3.81{\pm}1.01\;mSv$) in 80.46 % of the surveyed hospitals. 4. Exposure dose was directly depended on the tube voltage or the amount of currents.

• 대한안전경영과학회:학술대회논문집
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• 대한안전경영과학회 2011년도 추계학술대회
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• pp.563-571
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• 2011

The purpose of the study was to evaluation of the radiation dose reduction using various automatic exposure control (AEC) systems in different manufactures multi-detector computed tomography (MDCT). We used three different manufacturers for the study: General Electric Healthcare, Philips Medical systems and Siemens Medical Solutions. The general scanning protocol was created for the each examination with the same scanning parameters as many as possible. In the various AEC systems, the evaluation of reduced-dose was evaluated by comparing to fixed mAs with using body phantom. Finally, when we applied to AEC for three manufacturers, the radiation dose reduction decreased each 35.3% in the GE, 58.2% in the Philips, and 48.6% in the Siemens. This applies to variety of the AEC systems which will be very useful to reduce the dose and to maintain the high quality.

• 대한방사선기술학회지:방사선기술과학
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• 제4권1호
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• pp.31-36
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• 1981

We studied radiation dose in mammography through 34-46 kv range using acryl phantom. The obtained results were as follows: 1. Incident radiation was maximum with high kvp and thin added filtration. 2. Transmitted radiation by acryl phantom and its thickness were in reciprocal relationship. 3. The acryl thickness to produce comparable film density with soft tissue of breast was 6 cm. 4. The X-ray exposure for comparable density radiographs increased mammographic film more than medical x-ray film and the amount of x-ray exposure was directly proportional to the added filtration of x-ray beam. 5. The surface dose of x-ray exposure needed to produce film density of 1.0 for 6cm acryl phantom was 1,084-1,575mR in mammographic film and 476-625 mR in medical x-ray film.

• 중독정신의학
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• 제18권1호
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• pp.17-22
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• 2014

Virtual reality (VR) provides an immersive and interactive 3-dimensional system, which allows an individual to become immersed in a computer-generated situation. VR technology has been administered in the exposure-based treatment of a variety of psychiatric disorders, including acrophobia, fear of flight, and post-traumatic stress disorder. Furthermore, VR systems have also been developed for the use of research and treatment in addiction. They might have advantages in cue exposure therapy, by increasing the salience of cues, as well as assessments of cue reactivity in addiction. This article summarizes the application of VR in the field of psychiatry. More importantly, it suggests the possibilities of clinical use of VR technology, in the treatment of addiction.

• 한국병원경영학회지
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• 제21권1호
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• pp.51-61
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• 2016

This study attempted to investigate how mass media marketing of a hospital influences patient volume. Additionally, the association of patient volume with exposure time and the type of mass media was examined. Data from a university hospital in Bundang (from January 2014 to November 2014) were used. Degree of physicians' mass media marketing was measured by the number of media exposure. Linear mixed model for repeated measures data was run to identify the associations between the number of media exposure and patient volume. First, the number of hospital physician's mass media exposure and new patients and the first visit patients were positively associated. Second, broadcasting media which has relatively significant in patient volume is TV programs such as cultural programs and news. Third, hospital physicians with higher ranks who were exposed to press media receive more patient appointment. Also, nonsurgical hospital physicians who were exposed to press media receive more patients. Fourth, medical treatment activities for hospital staff who hold the rank of Professor in case of making an appearance at press media have relatively increased. Hospital physician's media exposure, particularly TV programs, was significantly related to patient volume for outpatients.

• Archives of Plastic Surgery
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• 제37권1호
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• pp.26-30
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• 2010

Purpose: Common complications of immediate breast reconstruction with implant are capsular contracture, malposition of implant, hematoma and seroma. Especially, the most severe complication is implant exposure caused by inflammation or necrosis of skin flap margin of mastectomy site. This article reports the experience of cases of salvage in such an exposure of implant. Methods: From July, 2002 to Feb., 2009, sixty-five patients who underwent immediate breast reconstruction with implant were retrospectively analyzed. Exposure of implant was happened in 5 of 65 patients and they were treated at out patient district. Two of five patients were reconstructed with saline implnt and all of them underwent the enveloping of the implant with AlloDerm$^{(R)}$ and Serratus muscle flap. Remaning three patients were reconstructed with silicone implant and all of them underwent the enveloping of the implant with AlloDerm$^{(R)}$. Results: In the group of patients who underwent reconstruction with saline implant, implant exposure was found in one patient due to partial necrosis of the margin of skin flap and debridement and primary repair were done. In the other one patient, dressing with antibiotic ointment were done. And debridement and primary repair were proceeded. In the group of patients who underwent reconstruction with silicone implant, implant exposure was found in one patient. After removal of the implant, tissue expansion was done and a new silicone implant was inserted. Implant exposure were found in the other two patients, antibiotics ointment application and primarily repaired. Conclusion: It was the common knowledge that the exposed implant should be removed. But salvage of the exposed implants may be possible with proper treatment. Four of five patients (80%) with exposed breast implant were salvaged with conservative management.

• 대한방사선기술학회지:방사선기술과학
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• 제27권4호
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• pp.37-41
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• 2004

목 적 : 측정을 통한 장치의 성능관리 평가로 임상실무에서의 능력배양과 정확한 관전압, 조사시간, 출력선량을 측정하는 기술을 익히고 병원에서 사용 중인 간접촬영용 X-선 발생장치 성능현황을 파악하기 위함이다. 재료 및 방법 : 관전압, 조사시간, 출력선량 측정기를 이용하여 10개 대학병원 간접촬영용 X-선 발생장치(원내,외 각 10대)를 이용하였다. 결 과 : 관전압 정확도 시험 PAE 판정에 의해 부적합한 간접촬영기는 3대가 나왔으며, 조사시간의 정확도 시험에서는 2대, 또한 조사선량의 재현성 시험에서도 조사선량에 대한 변동계수를 계산한 결과 3대가 나왔다. 3가지 성능검사에서 원외(이동차량)의 부적합한 간접촬영기는 5대, 원내는 3대로 원외(이동차량)의 간접촬영기가 원내보다 부적합한 것이 높게 나타났다. 결 론 : 간접촬영기의 성능을 일정하게 유지함으로서 방사선 피폭경감, 화질관리, 재촬영 감소 등에 의해 환자에게 양질의 의료서비스를 제공할 수 있는 여건을 마련할 수 있을 것이다. 따라서 정기적인 성능검사가 필요하다고 사료된다.

• 임상간호연구
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• 제15권2호
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• pp.115-126
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• 2009

Purpose: The purpose of this study was to assess the frequency and characteristics of occupational blood and body fluid exposure for operating room personnel during surgical procedures and identify risk factors. Methods: A self-report questionnaire was used to survey 519 operating room personnel who participated in 132 surgeries in an acute care hospital in Seoul between April 12 and 20, 2006. Results: The response rate was 82% (530/646) and analyzed total 519 except for improper 11 questionnaires. Exposure rate was 45.5% (60/132) during operations and 20.4% (106/519) for operating room personnel. By job categories, the exposure rate was as follows; anesthesiologists and nurses 31.2% (44/141), operators and assistants 22.1% (32/145), circulating nurses 12.0% (11/92), scrub nurses 11.4% (14/123). The mucous membrane-eye exposure with a high risk of transmitting infection was 6.6% (7/106) and the most frequent route of exposure was blood and body fluid touching unprotected skin. In multivariate analysis, the risk factors of exposure were services, duration of operation, a patient who had a peripheral arterial catheter line, and job category. Conclusion: Educational programs and appropriate use of personal protective equipment are necessary to prevent operating room personnel from being exposed to blood and body fluid.

• The Korean Journal of Pain
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• 제26권3호
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• pp.307-308
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• 2013