• The Korean Journal of Pain
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• v.31 no.4
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• pp.244-252
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• 2018

C-arm fluoroscopy is useful equipment in interventional pain management because it helps to guide correct needle targeting for the accurate injection and drug delivery. However, due to increased use of C-arm fluoroscopy in various pain procedures, the risk of radiation exposure is a significant concern for pain physicians. The harmful biological effects of ionizing radiation on the human body are well known. It is therefore necessary to strive to reduce radiation exposure. Lead aprons with thyroid shields are the most fundamental radiation protective devices for interventional procedures, and are very effective. However, the operator's radiation safety cannot be guaranteed because pain physicians seem to lack sufficient interest, knowledge, and awareness about radiation safety. Also, inappropriate care and use of radiation protective devices may result in a higher risk of radiation exposure. The purpose of this article was to review the literature on radiation safety with a focus on lead aprons and thyroid shields and present recommendations related to those devices during C-arm fluoroscopic-guided interventions by pain physicians.

• Korean Journal of Digital Imaging in Medicine
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• v.12 no.1
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• pp.5-8
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• 2010

Opened a court in February 10, 2006, a rule of safety management of the diagnosis radiation system was promulgated for safety of the radiation worker, patients and patients' family members. The purpose of this rule is to minimize the risk of being exposed to radiation during the process of handling X-ray. For this reason, we manufactured shielding device of mobile X-ray unit collimator for diminution of skin dose. Shielding device is made to a thickness of Pb 0.375mm. For portable chest radiography, we measured skin dose 50cm from center ray to 200cm at intervals of 20cm by Unfors Xi detector. As a result, a rule of safety management of the diagnosis radiation system has been strengthened. But there are exceptions, such as ER, OR, ICU to this rule. So shielding device could contribute to protect unnecessary radiation exposure and improve nation's health.

• Journal of the Korea Safety Management & Science
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• v.6 no.3
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• pp.87-97
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• 2004

The National Health Insurance Act, the Industrial Health Act and the School Health Act require chest radiography at least once a year. In chest radiographic examination, most group examinations use indirect X-ray primarily aiming at diagnosing diseases and enhancing people's health. This study purposed to minimize radiation exposure dose by comparing it between direct and indirect chest X-ray studies. According to the result of comparing and analyzing radiation exposure dose, the average incident dose and penetrating dose were 0.929μGy and 0.179μGy respectively in direct chest X-ray and 6.807μGy and 1.337μGy in indirect chest X-ray In order to minimize radiation exposure dose at direct and indirect chest X-ray, indirect X-ray should be excluded from group examination if possible. Moreover, it is necessary to control the quality of equipment (Q/A & Q/C) systematically and to avoid using unqualified equipment in order to reduce radiation exposure dose.

• The Korean Journal of Pain
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• v.35 no.2
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• pp.129-139
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• 2022

C-arm fluoroscopy is a useful tool for interventional pain management. However, with the increasing use of C-arm fluoroscopy, the risk of accumulated radiation exposure is a significant concern for pain physicians. Therefore, efforts are needed to reduce radiation exposure. There are three types of radiation exposure sources: (1) the primary X-ray beam, (2) scattered radiation, and (3) leakage from the X-ray tube. The major radiation exposure risk for most medical staff members is scattered radiation, the amount of which is affected by many factors. Pain physicians can reduce their radiation exposure by use of several effective methods, which utilize the following main principles: reducing the exposure time, increasing the distance from the radiation source, and radiation shielding. Some methods reduce not only the pain physician's but also the patient's radiation exposure. Taking images with collimation and minimal use of magnification are ways to reduce the intensity of the primary X-ray beam and the amount of scattered radiation. It is also important to carefully select the C-arm fluoroscopy mode, such as pulsed mode or low-dose mode, for ensuring the physician's and patient's radiation safety. Pain physicians should practice these principles and also be aware of the annual permissible radiation dose as well as checking their radiation exposure. This article aimed to review the literature on radiation safety in relation to C-arm fluoroscopy and provide recommendations to pain physicians during C-arm fluoroscopy-guided interventional pain management.

• International Journal of Oral Biology
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• v.46 no.4
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• pp.168-175
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• 2021

To investigate the perceptions and attitudes of dental hygienists toward radiation safety management in Korea. A total of 800 dental hygienists were randomly selected for an anonymous survey, and 203 of them participated. The questionnaire items included the following: sex, career period, type of installed radiographic equipment, recognition of the diagnostic reference level (DRL), participation in radiation safety education, and attitudes toward radiation protection for both patients and dental hygienists. The participants were divided into two groups according to their years of experience (< 10 years versus ≥ 10 years). The difference between the groups was investigated according to frequency distribution. Fisher's exact test or Pearson's chi-square (𝛘²) test was used as appropriate. A regression analysis was performed to investigate the impact of wearing a thyroid collar for personnel protection during patient radiation exposure. The types of installed radiographic equipment included panoramic radiography (96.1%), cephalometric radiography (76.9%), intraoral radiography (72.9%), and cone-beam computed tomography (69.5%). Significant differences were observed in the learning pathway for the DRL (Fisher's exact test, p < 0.05), satisfaction with radiation safety education (Pearson's 𝛘² test = 5.3975, Pr = 0.02), and use of personnel radiation monitoring systems (Pearson's 𝛘² test = 18.1233, Pr = 0.000) between the groups. Significant differences were also observed in personnel protection using a thyroid collar and patient protection during panoramic radiography (odds ratio = 14.2). Dental hygienists with more than 10 years of experience were more satisfied with radiation safety education and more interested in radiation monitoring. Considering career experience, customized, continuous, and effective radiation safety management education should be provided.

• Journal of The Korean Radiological Technologist Association
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• v.27 no.2
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• pp.260-268
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• 2001

Ⅰ. Introduction : 'The regulation for the safety management of diagnostic radiation apparatus' legislated and it has been managed systematially. So that, it enables a national health to be protected from harmful radiation. But, managers and administers of

• Journal of Radiation Protection and Research
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• v.26 no.3
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• pp.281-286
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• 2001

The composition and design of a real-time personal dose measurement and management system are described in this paper. Accordingly, some pertinent hardware circuits and software codes including their operation modes have also been presented.

• Journal of radiological science and technology
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• v.43 no.2
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• pp.123-128
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• 2020

Radiation Following the 2011 Fukushima nuclear accident in Japan, public interest and anxiety about radiation safety increased, and vague anxiety about commonly exposed living radiation was generated. The Atomic Energy Safety Commission has been conducting a survey of processed products that advertise "negative ions" and "far-infrared" emissions under the Living Radiation Safety Management Act. In this study, in-depth analysis was performed from a statistical point of view using the measurement data presented in the Nuclear Safety Committee's actual survey analysis report as secondary data. As a result, there was a statistically significant difference (p<0.005) between latex and civil affairs products. There were also statistically significant differences (p<0.05) in the results of testing whether there were significant differences in the annual exposure dose between groups after categorizing 71 civil products, including radon beds, into bed, bedding, and living and other categories. The correlation analysis results also confirm that, as is commonly known, the annual doses received from processed products are associated with radon derived from U-238 and Th-232.

• Journal of radiological science and technology
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• v.38 no.4
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• pp.411-420
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• 2015

Objectives : This study tries to find the educational basis based on the radiation safety knowledge, attitudes and behaviors to check the level of radiation safety behavior in domestic students who study dental hygiene. Methods : The students of 3rd and 4th grades in 83 universities which have registered on the Korean University Education Council were involved, and they were given a questionnaire for this study. The questionnaire was provided via visit with 20 copies to each university (total 1660 copies), mail by post and e-mail. Among them, we analyzed only 723 copies that we can trust. The data were analyzed with frequency, percentage, mean, standard deviation and Pearson's correlation using the SPSS/WIN 15.0. Results : As a result, there are correlations in the students' knowledge, attitudes and behaviors regarding the radiation safety management. It means that the education which can improve the knowledge and attitudes should be applied to increase the action level of the radiation safety. In addition, the physical environment is the most closely correlated with the individual behavior, so it will be limited to improve the behavioral levels of the radiation safety if the physical environment is not prepared. Therefore, the physical environment should be supported to enhance the level of the radiation safety activity, and to increase the individual attitude level of radiation safety. Conclusions : The knowledge level of the radiation safety management is relatively lower than the attitudes level, and the behavior level is the lowest. Therefore, the education policy of the safety behavior must be enhanced. For domestic students, the educational intervention is necessary to improve their behavioral level of radiation safety management because they will be able to reduce the amount of radiation exposure of their patients in dental care after getting a job.

• Journal of Korean society of Dental Hygiene
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• v.11 no.5
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• pp.729-739
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• 2011

Objectives : It is important to catch individual characteristics by measuring the level of self-efficacy, radiation safety knowledge, attitudes to increase behavior levels in the radiation safety management(RSM) and we consider this should be applied to the professional program development to improve RSM activities of dental hygienist and students at department of dental hygiene. Methods : This study mentioned mainly self-efficacy, radiation safety knowledge, attitudes for dental hygienists and the second & third year students at department of dental hygiene in Pusan area to provide the correct information associated with the use of radiation and to be aid in the development program to increase behavior levels in the RSM in dental care institutions and schools in the future and performed a survey 8 May to 7 Juiy, 2011. The survey results were as follows Results : 1. The results of self-efficacy is $3.53{\pm}0.42$ points for the dental hygienist and $3.32{\pm}0.40$ points for students(p<0.001). 2. According to the knowledge level of RSM, the result is $11.7{\pm}3.12$ points for the dental hygienist and $9.56{\pm}2.72$ points for students(p<0.001). 3. According to the knowledge level of RSM, the result is $4.40{\pm}0.49$ points for the dental hygienist and $4.22{\pm}0.56$ points for students(p<0.001). 4. According to relationship among self-efficacy, radiation safety knowledge and attitudes, the higher the score for knowledge of RSM was, the higher the score for self-efficacy was. The higher the score for attitudes was, the higher the score for self-efficacy and knowledge was(p<0.01). 5. The factors to affect attitudes about RSM were self-efficacy, knowledge(p<0.01).