• Title/Summary/Keyword: Radiology Education

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Appendiceal Visualization on 2-mSv CT vs. Conventional-Dose CT in Adolescents and Young Adults with Suspected Appendicitis: An Analysis of Large Pragmatic Randomized Trial Data

  • Jungheum Cho;Youngjune Kim;Seungjae Lee;Hooney Daniel Min;Yousun Ko;Choong Guen Chee;Hae Young Kim;Ji Hoon Park;Kyoung Ho Lee;LOCAT Group
    • Korean Journal of Radiology
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    • v.23 no.4
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    • pp.413-425
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    • 2022
  • Objective: We compared appendiceal visualization on 2-mSv CT vs. conventional-dose CT (median 7 mSv) in adolescents and young adults and analyzed the undesirable clinical and diagnostic outcomes that followed appendiceal nonvisualization. Materials and Methods: A total of 3074 patients aged 15-44 years (mean ± standard deviation, 28 ± 9 years; 1672 female) from 20 hospitals were randomized to the 2-mSv CT or conventional-dose CT group (1535 vs. 1539) from December 2013 through August 2016. A total of 161 radiologists from 20 institutions prospectively rated appendiceal visualization (grade 0, not identified; grade 1, unsure or partly visualized; and grade 2, clearly and entirely visualized) and the presence of appendicitis in these patients. The final diagnosis was based on CT imaging and surgical, pathologic, and clinical findings. We analyzed undesirable clinical or diagnostic outcomes, such as negative appendectomy, perforated appendicitis, more extensive than simple appendectomy, delay in patient management, or incorrect CT diagnosis, which followed appendiceal nonvisualization (defined as grade 0 or 1) and compared the outcomes between the two groups. Results: In the 2-mSv CT and conventional-dose CT groups, appendiceal visualization was rated as grade 0 in 41 (2.7%) and 18 (1.2%) patients, respectively; grade 1 in 181 (11.8%) and 81 (5.3%) patients, respectively; and grade 2 in 1304 (85.0%) and 1421 (92.3%) patients, respectively (p < 0.001). Overall, undesirable outcomes were rare in both groups. Compared to the conventional-dose CT group, the 2-mSv CT group had slightly higher rates of perforated appendicitis (1.1% [17] vs. 0.5% [7], p = 0.06) and false-negative diagnoses (0.4% [6] vs. 0.0% [0], p = 0.01) following appendiceal nonvisualization. Otherwise, these two groups were comparable. Conclusion: The use of 2-mSv CT instead of conventional-dose CT impairs appendiceal visualization in more patients. However, appendiceal nonvisualization on 2-mSv CT rarely leads to undesirable clinical or diagnostic outcomes.

Knowledge According to Learning Experiences of CPR for Health Occupation College Students (대학생의 심폐소생술에 대한 교육경험에 따른 지식 - 일 광역시를 중심으로 -)

  • Uhm, Dong-Choon;Jun, Myung-Hee;Hwang, Ji-Young;Choi, Jee-Yae
    • The Journal of Korean Academic Society of Nursing Education
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    • v.14 no.1
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    • pp.138-146
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    • 2008
  • Purpose: The first responder's role during a cardiac arrest scene is to initiate CPR. The AHA has recognized and included the first responder's role for improving the survival rate of cardiac arrest patients. Health personnel working in nursing, emergency care, dental hygiene, radiology, and ocular optics frequently confront sudden cardiac arrest while working. This study was to identify the relationship between the educational experience and recognition with the level of knowledge about CPR for college students. Method: Five hundred forty college students enrolled in the department of nursing science, radiological technology, ocular optics, emergency medical technician, or dental hygiene in Daejeon city were surveyed. The tool used was CPR knowledge developed by the authors based on a literature review including 2005 AHA's CPR guideline. Result: The higher educational experience of CPR was, the higher the level of knowledge. The knowledge of the students in nursing or emergency medical technician was higher than students in dental hygiene, radiology, and ocular optics. Conclusion: CPR class should be included in the curriculum for college students in order to improve their accuracy as a first responder to cardiac arresting patients.

Radon Concentration at N-Kindergarten in G-City (G광역시 N유치원의 라돈 농도)

  • Park, Yun;Kim, Wonjun
    • Journal of the Korean Society of Radiology
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    • v.9 no.6
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    • pp.421-424
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    • 2015
  • In this study, To subject the constructed at N-kindergarten in G-city, the position is closed window and opened window was measured using a measuring instrument for radon. The measured results indicate that the measurement was carried out in concentrations of radon gas measured at N-kindergarten is low than United States in the radon concentration in air public 4pCi called radon gas baseline maximum allowable concentrations. As a result, radon exposure is not a problem, but when the accumulation radon gas in the lungs, get damaged same lung cancer. Be defensive of kindergarten windows open for ventilation and dust removal be possible to reduce the exposure.

A Study on the Cardiopulmonary Resuscitation Education of the Medical Workers (의료기관 종사자의 심폐소생술 교육에 관한 연구)

  • Lee, Hyun-Suk;Lim, Cheong-Hwan;Park, Hae-Ri;Jung, Hong-Ryang;Yang, Oh-Nam
    • Journal of radiological science and technology
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    • v.41 no.3
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    • pp.261-265
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    • 2018
  • Most schools and educational institutions, as well as most companies, show willingness to teach CPR. However, as an essential element for the health care workers, this study aims to analyze the appropriate timing of education and improvements to the education, focusing on those who have trained for CPR. The survey was conducted for only those who applied for CPR education regardless of their profession in medical institutions. There were 105 males and 93 females by gender, and an average of 198 females were 33.5 years. The difference in CPR education depending on individual characteristics showed a high demand that all research subjects' gender, age and marital status should be improved to a practical education. During the education period, the efficiency of CPR was high. It is expected that the education of CPR will be used for the improvement of the training cycle and the training content since it is the enhancement of the performance capabilities that require practical application.

Kindergarten Teachers' Perceptions on Young Children's Safety due to Radioactive Contamination (방사능 오염으로 인한 유아 안전에 대한 유치원 교사의 인식)

  • Yang, Jinhee;Park, Yun;Yeo, Hwayeon
    • Journal of the Korean Society of Radiology
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    • v.7 no.3
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    • pp.221-225
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    • 2013
  • The purpose of this study was to examine the impact of the Fukushima nuclear power plant accident of Japan in 2011 on kindergarten teachers' perception on young children's safety due to radioactive contamination. This study analysed the 134 questionnaire forms out of 197 kindergarten teachers in the region of Chungbuk. The findings of the study indicated that the Japanese unclear power plant accident exerted an influence on anxious of kindergarten teachers on young children's safety due to radioactive contamination. In conclusion, kindergarten teacher education are required to improve the safety knowledge of kindergarten teachers and alternative resolution method for young children's safety due to radioactive contamination.

A Study on Satisfaction of Supplementary Education for Radiological Technologist (방사선사 보수교육에 대한 만족도 연구)

  • Jeong, Bong-Jae;Park, Ji-Koon;Kang, Sang-Sik;Noh, Si-Cheol
    • Journal of the Korean Society of Radiology
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    • v.11 no.6
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    • pp.475-481
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    • 2017
  • As the research about supplementary education of radiological technologist who works in Gyoungsangnam province, this study was conducted to draw the improvements by analyzing the satisfaction level and problems of the supplementary education. During November 01, 2016 to December 15, 2016, after we sent out a total of 250 questionnaires for the survey to radiological technologists working at medical institution located in Gyoungsangnam province, 200 questionnaires suitable for research were analysis by using SPSS 18.0 statistical analysis software. As the satisfaction factors, 21 items such as system, subject, help, appropriateness of lecturer selection, professionalism were used. And as the problem factors, 18 items such as place, transportation, diversity, administrative treatment, education promotion, proceed method were used. Consequentially, the satisfaction level(3.12 point) and problems(3.01 point) of the supplementary education were confirmed as normal level. The supplementary education is an essential education that any health and medical service personnel must complete. In order to improve the effectiveness and efficaciousness of the education, the diverse opinions and efforts to improve the education levels must be supported. Futhermore, through the realistic educational program, the continuous education for radiological technologist with excellent qualities and competence should be done.

Management of oral and maxillofacial radiological images (Dr. Image를 이용한 구강악안면방사선과 의료영상 관리)

  • Kim Eun-Kyung
    • Imaging Science in Dentistry
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    • v.32 no.3
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    • pp.129-134
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    • 2002
  • Purpose : To implement the database system of oral and maxillofacial radiological images using a commercial medical image management software with personally developed classification code. Materials and methods : The image database was built using a slightly modified commercial medical image management software, Dr. Image v.2.1 (Bit Computer Co., Korea). The function of wild card '*' was added to the search function of this program. Diagnosis classification codes were written as the number at the first three digits, and radiographic technique classification codes as the alphabet right after the diagnosis code. 449 radiological films of 218 cases from January, 2000 to December, 2000, which had been specially stored for the demonstration and education at Dept. of OMF Radiology of Dankook University Dental Hospital, were scanned with each patient information. Results: Cases could be efficiently accessed and analyzed by using the classification code. Search and statistics results were easily obtained according to sex, age, disease diagnosis and radiographic technique. Conclusion : Efficient image management was possible with this image database system. Application of this system to other departments or personal image management can be made possible by utilizing the appropriate classification code system.

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An Analysis of the Effects of Smartphone Addiction on Self-control by University Students of Radiology Major (방사선 전공 대학생의 스마트폰 중독이 자기통제력에 미치는 영향 분석)

  • Huang, Yuxin;Choi, Ji Hoon;Jung, Hong Ryang;Park, Hae-Ri
    • Journal of radiological science and technology
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    • v.41 no.4
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    • pp.345-349
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    • 2018
  • The study analyzed questionnaires of 431 radiologists in the field of radiology for identifying the effects of smartphone addiction on self-control for college students using smartphones. The results showed that the standard of living for smartphone addiction was higher for middle-income brackets, and that for girls, it was high for gender. Male students showed high self-control among men and women, while those who are not addicted to smartphones showed high levels of self-control among non-addicted people. In addition, the results of correlation are gender and smartphone addiction (r=.221, p<.001) showed a static correlation between smartphone and self-control (r=-.371, p<.001) It has been found that there is a negative correlation. Based on the results of this study, it is expected that university students will be able to improve their program development and self-control ability to prevent smartphone addiction and will be used as basic data for prevention education.

Evaluation of maxillary sinusitis from panoramic radiographs and cone-beam computed tomographic images using a convolutional neural network

  • Serindere, Gozde;Bilgili, Ersen;Yesil, Cagri;Ozveren, Neslihan
    • Imaging Science in Dentistry
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    • v.52 no.2
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    • pp.187-195
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    • 2022
  • Purpose: This study developed a convolutional neural network (CNN) model to diagnose maxillary sinusitis on panoramic radiographs(PRs) and cone-beam computed tomographic (CBCT) images and evaluated its performance. Materials and Methods: A CNN model, which is an artificial intelligence method, was utilized. The model was trained and tested by applying 5-fold cross-validation to a dataset of 148 healthy and 148 inflamed sinus images. The CNN model was implemented using the PyTorch library of the Python programming language. A receiver operating characteristic curve was plotted, and the area under the curve, accuracy, sensitivity, specificity, positive predictive value, and negative predictive values for both imaging techniques were calculated to evaluate the model. Results: The average accuracy, sensitivity, and specificity of the model in diagnosing sinusitis from PRs were 75.7%, 75.7%, and 75.7%, respectively. The accuracy, sensitivity, and specificity of the deep-learning system in diagnosing sinusitis from CBCT images were 99.7%, 100%, and 99.3%, respectively. Conclusion: The diagnostic performance of the CNN for maxillary sinusitis from PRs was moderately high, whereas it was clearly higher with CBCT images. Three-dimensional images are accepted as the "gold standard" for diagnosis; therefore, this was not an unexpected result. Based on these results, deep-learning systems could be used as an effective guide in assisting with diagnoses, especially for less experienced practitioners.

Extracurricular medical education using artists as instructors - A case report on extracurriculum program- (예술가가 진행한 감성교육에 참여한 의과대학생들의 반응 - 교과목 외 교육활동 프로그램 사례를 중심으로-)

  • Oh, Seung-Min;Chung, Tae-Sub
    • Korean Medical Education Review
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    • v.10 no.1
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    • pp.43-51
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    • 2008
  • Purpose: As introducing a case on extracurricular medical education using artists as instructors, we purposed to make significant implication on the technology-centered medical education. Methods: A case on extracurricular medical education using artists as instructors was introduced and the response of participants among medical students was presented and analyzed. Results: 25 medical students and 5 artists participated in this extracurricular medical education program. Each 5 artists' special area were an oil painting, an illustration, a documentary photo, a play, and an animation Participants' satisfaction of this program was high among medical students. They thought the time with an artist as a significant opportunity for understanding not only human-being but also himself or herself. Conclusions: The application of this learner-centered and extracurricular education program using artists as instructors needed further consideration in medical education. Medical students' meeting with artists can fill the lost art of medicine.