• 보건행정학회지
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• 제28권3호
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• pp.263-271
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• 2018

Health technology assessment (HTA) is defined as multidisciplinary policy analysis to look into the medical, economic, social, and ethical implications of the development, distribution, and use of health technology. Following the recent changes in the social environment, there are increasing needs to improve Korea's healthcare environment by, inter alia, assessing health technologies in an organized, timely manner in accordance with the government's strategies to ensure that citizens' medical expenses are kept at a stable level. Dedicated to HTA and research, the National Evidence-based Healthcare Collaborating Agency (NECA) analyzes and provides grounds on the clinical safety, efficacy, and economic feasibility of health technologies. HTA offers the most suitable grounds for decision making not only by healthcare professionals but also by policy makers and citizens as seen in a case in 2009 where research revealed that glucosamine lacked preventive and treatment effects for osteoarthritis and glucosamine was subsequently excluded from the National Health Insurance's benefit list to stop the insurance scheme from suffering financial losses and citizens from paying unnecessary medical expenses. For the development of HTA in Korea, the NECA will continue exerting itself to accomplish its mission of providing policy support by health technology reassessment, promoting the establishment and use of big data and HTA platforms for public interest, and developing a new value-based HTA system.

• 보건의료산업학회지
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• 제7권4호
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• pp.273-288
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• 2013

This paper is a general review contextualizing the state of the domestic health technology assessment. The aim of the paper is to present an overview of health technology assessment in Korea based on examining clinical efficacy as well as cost-benefit analysis, and to suggest the issue of appraisal based on social value. We have included a discussion of a major case study of the technology appraisal process of NICE (the National Institute for Clinical Excellence) in the UK. The review of the existing process of NICE shows that the appraisal both gives interest in health technology a sense of value perspective and raises methodological issues in terms of reliability. Details of the appraisal process and several guidelines for best practice have emerged. Suggestions are listed and their role in assessing is explained as a conclusion.

• 보건의료기술평가
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• 제6권2호
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• pp.81-87
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• 2018

With the recent change of healthcare environment including rapid technological development, evidences are more and more important and necessary to support relevant policies in health technology assessment to provide safe and effective health services, utilizing medical resources efficiently. Despite of the emphasis on the importance of real world data and real world evidence in health care research, current infrastructure supporting clinical research is considerably weak due to absence of legal and institutional basis. However, in accordance with the Article 26 of the Health and Medical Technology Promotion Act, there is a limited legal apparatus that can be used only in public data with other dataset for the purpose of healthcare technology assessment at the National Evidence-based Collaborating Agency. Although the use of linked data from various sources was often required in the field of clinical research, it was not yet working well due to insufficient environmental conditions. In order to support the decision-making of medical practice and health care policies, data-linking platform for clinical research is needed. If the legal system that can link up to the data of the private institutions without violating the significant value such as the protection of private informations is established, it will be a decisive foundation reinforcing the researches and policy making processes for the improvement of the national health care system.

• 한국식품영양학회지
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• 제33권3호
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• pp.223-236
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• 2020

In this study, a safety evaluation was conducted to confirm if the Enterococcus faecium CKDB003 strain obtained by selection from a mixed fermentation of fruit and milk is suitable for use as a probiotic. The MIC value for the 10 antibiotics specified in the EFSA guidance was below the acceptable cut-off value. The antibiotic resistance genes aac(6')-li, eatAv, and msr(C) exist by whole genome sequencing, but are in the chromosome and not in the plasmid, thus confirming that there is no possibility of transmission to other microorganisms. It was confirmed that cytolysin (cylA, cylB, cylI, cylL-l, cylL-s, cylM, cylR1, cylR2), aggregation substance (asa1, asp1), collagen adhesion (ace), enterococcal surface protein (esp), endocarditis antigen (efaA), hyaluronidase (hyl) and gelatinase (gelE) were not present in the genome by examining the genes of factors related to virulence. Also, the biochemical analysis showed no toxic enzyme activities, and no virulence genes were detected by the PCR method. Thus, the E. faecium CKDB003 strain can be safely used as a health functional food probiotic, based on the results of the safety assessment.

• 대한방사선기술학회지:방사선기술과학
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• 제44권5호
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• pp.495-502
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• 2021

This study aims to provide basic data for elderly health insurance policy and medical radiation safety management by analyzing the general radiography usage and exposure dose of the elderly in Korea. The effective dose for each general radiography was calculated using the ALARA-GR program for 260 general radiography codes selected from 'National Health Insurance Care Benefit Cost'. The usage of general radiography was analyzed in the 2016 elderly patient data of the Health Insurance Review and Assessment Service, and the effective dose for each general radiography was applied. The general radiography usage and exposure dose per person aged 65 years and over was 6.47 cases and 0.56 mSv. Females showed higher value than males as 7.15 cases and 0.66 mSv(p<.001). By age, those between 75 and 79 showed the highest number as 6.97 cases and 0.62 mSv(p<.001). Those who were supported by Medical Aid showed higher value than those who were insured by National Health Insurance as 8.82 cases and 0.76 mSv(p<.001). In addition, the ratio by radiography was in the order of Chest 20.85%, Knee Joint 15.58%, and L-spine 14.67%, and the exposure dose was L-spine 29.40%, Chest 15.82%, Abdomen 7.97%, and Entire Spine 7.20%. General radiography, which is widely used due to the high frequency of diseases in the elderly population should be taken into consideration when establishing health insurance policies. In addition, it is necessary to check whether the general radiography with high exposure dose is performed as a routine examination without considering medical necessity.

• Nuclear Engineering and Technology
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• 제55권7호
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• pp.2567-2571
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• 2023

Scintillator materials are widely used in the medical and industrial fields for imaging systems using gamma cameras. In this study, image evaluation is performed by modeling a gamma camera system based on a lutetium-yttrium oxyorthosilicate (LYSO) scintillation detector using a pinhole collimator that can improve the spatial resolution. A LYSO detector-based gamma camera system is modeled using a Monte Carlo simulation tool. The geometric concept of the pinhole collimator is designed using various magnification factors, and the spatial resolution is measured using the acquired source image. To evaluate the resolution, the full width at half maximum (FWHM) and natural image quality assessment (NIQE), a no-reference-based parameter, are used. We confirm that the FWHM and NIQE values decrease simultaneously when the diameter of the pinhole collimator increases. Additionally, we confirm that the spatial resolution improves as the magnification factor increases under the same pinhole diameter condition. Particularly, a 0.57 mm FWHM value is obtained using the modeled gamma camera system with a LYSO scintillation detector. In conclusion, our results demonstrate that a pinhole collimator with a LYSO scintillation detector is a promising gamma camera imaging system.

• 한국산학기술학회논문지
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• 제17권7호
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• pp.211-219
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• 2016

본 연구는 119구급대원을 대상으로 환자평가 수행도에 대한 교육 전 후를 비교함으로써, 구급대원을 대상으로 한 적절한 교육방법 및 기초자료를 제시하기 위해 진행하였다. 전국 4개 시 도 119구급대원 26명을 대상으로 하였으며, 연구는 2015년 12월 14일부터 17일까지 시행하였다. 구급대원이 직접 모의환자를 대상으로 환자평가 및 보고를 시행하도록 하였고, 환자평가를 진행하는 동안 각각의 증상(두통, 가슴통증, 호흡곤란)에 대한 체크리스트(checklist)를 사용하여 교육 전 후를 평가하였다. 연구 결과는 중앙값(사분위값)으로 기술 분석하였고, 교육 전 환자평가 수행도는 100점 만점에 66점(54.00-80.25)이었으나 교육 후 88.5점(80.00-93.00)으로 유의한 상승을 보였다(p<0.001). 환자평가 수행도 중 가슴통증 증례 5개의 항목, 두통 증례 7개의 항목, 호흡곤란의 증례 9개의 항목에서 교육 후에 유의한 증가를 보였고, 환자와의 관계형성에서는 구급대원을 다시 만나고 싶은 정도의 평가점수가 유의한 상승을 보였다(p<0.01). 또한 환자상태 보고 적절성의 모든 평가항목은 교육 후 수행도가 유의하게 상승하였다(p<0.01). 본 연구의 결과는 시뮬레이션 실습에 의한 교육이 119구급대원들의 환자평가 수행도 개선에 필요하다는 것을 보여준다. 따라서 119구급대원에 대한 실질적이고 체계적인 환자평가 교육은 필요하며, 지속적이고 많은 교육의 기회가 주어져야 할 것이다.

• 대한방사선기술학회지:방사선기술과학
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• 제44권1호
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• pp.31-37
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• 2021

This study aim of quantitative assessment of Noise Power Spectrum(NPS) and image characteristics of by acquired the optimal image for noise characteristics and quality assurance by using magnetic resonance imaging(MRI). MRI device was (MAGNETOM Vida 3.0T MRI; Siemense healthcare system; Germany) used and the head/neck shim MR receive coil were 20 channels coil and a diameter 200 mm hemisphere phantom. Frequency signal could be acquired the K-space trajectory image and white image for NPS. The T2 image highest quantitatively value for NPS finding of showed the best value of 0.026 based on the T2 frequency of 1.0 mm-1. The NPS acquired of showed that the T1 CE turbo image was 0.077, the T1 CE Conca2 turbo image was 0.056, T1 turbo image was 0.061, and the T1 Conca2 turbo image was 0.066. The assessment of NPS image characteristics of this study were to that could be used efficiently of the MRI and to present the quantitative evaluation methods and image noise characteristics of 3.0T MRI.

• 대한치과기공학회지
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• 제34권4호
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• pp.403-412
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• 2012

Purpose: This study is conducted to evaluate the job stressors for dental technicians in Ulsan city. Methods: The Korean standard job stressors assessment tool developed by Korea Occupational Safety and Health Agency (KOSHA) was used to compare the survey result with Korean reference value. The questionnaire on the social, demographic and job characteristics of dental technicians was also used to find the factors affecting to job stressors by using multiple linear regression analysis. Results: A total of 155 questionnaire was collected from 2010 to 2011. Among the eight fields of stressors, the physical environment (men 50.0, women; 58.3) and job demands (men 57.1, women 57.1) were higher than the median value of the Korean Workers. By multiple linear regression analysis, the significant factors to the physical environment were the satisfaction degree of indoor odor, number of employee, duty and working hours. In terms of the job demand, duty, working hours, age, and the satisfaction to the efficiency of space utilization were significantly associated to the score of job demand. Conclusion: Based on these results, it is necessary to manage appropriate workload, control indoor odor and design an efficient work space for prevention of job stress of dental technicians.

• 융합정보논문지
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• 제9권6호
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• pp.175-182
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• 2019

본 연구는 노인운전자용 자가 보고식 평가 SAFE-DR 개발 프로젝트의 일환으로 운전위험성 선별을 위한 기준점수를 확인하고 평가의 타당성을 검증하기 위해 수행되었다. Driver 65 Plus평가를 통해 노인운전자 132명을 58명의 위험성 운전자와 74명의 안전성 운전자로 구분하고, 이를 기준으로 SAFE-DR 평가의 위험성 예측 기준을 분석하였다. 또한 SAFE-DR 평가의 구성 타당도, 내용 타당도, 예측 타당도를 검증하였다. SAFE-DR 평가의 운전위험성 예측을 위한 기준점수는 74.5점으로 분석되었으며, 이 기준의 양성 예측도는 88.6%, 음성 예측도는 86.3%로 판별력은 훌륭한(excellent) 수준으로 확인되었다. 또한 집중타당성, 법칙타당성, 내용타당성이 적절한 것으로 판정되었다. 따라서 본 연구를 통해 SAFE-DR은 위험한 노인운전자를 선별하는 용도로 활용할 수 있는 적절한 평가임을 확인하였다.