• 제목/요약/키워드: Field examination

검색결과 881건 처리시간 0.023초

노출지수를 이용한 요추 X선 촬영의 조사야 유효성 평가 (Effect of Field Size on the Clinical Exposure Index for Lumbar Spine X-ray Examination)

  • 박혜민;윤용수;김정수;정회원
    • 대한방사선기술학회지:방사선기술과학
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    • 제44권3호
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    • pp.183-187
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    • 2021
  • The field size of the lumbar spine X-ray examination, which belongs to the most frequent examination in general radiography, is 5 times wider than the width of the lumbar spine. Exposure index (EI) as per International Electrotechnical Commission has a proportional relationship with the dose incident on the image receptor for clinical protocols in addition to RQA5, which is a calibration beam quality. In this study, the effectiveness of the set field size was evaluated through the change of EI according to the size of field during lumbar spine X-ray examinations. Lumbar anterior-posterior and lateral examinations was performed using a whole-body phantom, and the national average exposure conditions of Korea investigated in 2017 were introduced for the X-ray exposure. As a result of comparing the EI displayed on the console of digital radiography system for the three field size in ① 18 × 36 cm2 ② 25 × 36 cm2 ③ 36 × 36 cm2, the EI values showed a tendency to increase as the field size increased. Since the patient dose, such as organ dose around the lumbar spine, increases as the field size becomes larger, thus, if the EI obtained from the field size at a level that does not interfere with diagnosis is set as a reference, the effectiveness of the field size can be evaluated through the EI displayed on the console when the lumbar spine X-ray examination is conducted.

An Examination of the Theoretical Foundations of Cross-Cultural Studies through an Analysis of Cross-Cultural Research in ELT

  • Pederson, Rod
    • 비교문화연구
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    • 제45권
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    • pp.497-517
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    • 2016
  • This paper interrogates the theoretical foundations of Cross-Cultural Studies across the Social Sciences through an examination of the field ELT. Through an examination of ELT's major theoretical and pedagogical moves, this paper illustrates how ELT is by nature a field of cross-Cultural Studies. A closer examination of the history of ELT shows how the colonial genesis of the field indicates a skewed representation of power between native English speaking nations and non-native speaking nations both in terms of academic theories and pedagogies, as well as socio-cultural relations of power. A further analysis of how the field theorizes and represents various relations of power between disparate cultures in ELT literature explicates the dilemma of the objectivity and neutrality of Cross-Cultural research in ELT. In doing so, the analyses included in this paper thus necessarily raises questions regarding the theoretical foundations of research methodologies of Cross-Cultural Studies in terms of the reflexivity of researchers and the problematic of how, or if, relations of power are included in the studies. This paper questions whether studies that do not include these research perspectives properly represent the disparate cultures under study, or are more of a biased, or Orientalized (Said, 1979) interpretation of cultures.

Modified Trans-Middle Temporal Gyrus Approach for Trigonal Tumor to Preserve Visual Field

  • Choi, Jeong-Wook;Jung, Shin;Jung, Tae-Young;Jang, Woo-Youl;Moon, Kyung-Sub;Kim, In-Young
    • Journal of Korean Neurosurgical Society
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    • 제50권6호
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    • pp.538-541
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    • 2011
  • Objective : We evaluated a modified trans-middle temporal gyrus (MTG) approach with good postoperative visual preservation for patients with trigonal tumors. Methods : Three patients with a trigonal tumor were treated via the modified trans-MTG approach guided by a neuro-navigator. Modified trans-MTG approach involve the incision at the MTG within 5 mm to the superior temporal sulcus. This approach makes a proper trajectory to the trigone but also reduces the retraction injury of MTG as little as possible to prevent postoperative visual field defect. Preoperative and postoperative visual field examination using perimetry was performed to evaluate the visual field. Results : Three patients underwent surgery for lymphoma in the right trigone, meningioma in the left trigone, and focal enhancing nodule in the right paratrigonal area, respectively. In case of lymphoma, preoperative examination showed a left homonymous hemianopsia : one week later after surgery, a visual field examination was performed and revealed improvement of the visual field defect. In case of the meningioma, the preoperative examination showed no visual field defect : one month later, the visual field had no defect. In case of the enhancing nodule, preoperative visual field testing revealed a partial left homonymous hemianopsia. Visual examination within one month after surgery showed no visual field defect. All three patients treated with the modified trans-MTG approach showed no visual deterioration after surgery. Conclusion : The modified trans-MTG approach provides a safe and useful technique for trigonal tumors without postoperative visual field deterioration and affords adequate exposure of the trigonal tumor with a short trajectory.

QUANTITATIVE DATA TO SHOW EFFECTS OF GEOMETRIC ERRORS AND DOSE GRADIENTS ON DOSE DIFFERENCE FOR IMRT DOSE QUALITY ASSURANCE MEASUREMENTS

  • Park, So-Yeon;Park, Jong-Min;Ye, Sung-Joon
    • Journal of Radiation Protection and Research
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    • 제36권4호
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    • pp.183-189
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    • 2011
  • To quantitatively evaluate how setup errors in conjunction with dose gradients contribute to the error in IMRT dose quality assurance (DQA) measurements. The control group consisted of 5 DQA plans of which all individual field dose differences were less than ${\pm}5%$. On the contrary, the examination group was composed of 16 DQA plans where any individual field dose difference was larger than ${\pm}10%$ even though their total dose differences were less than ${\pm}5%$. The difference in 3D dose gradients between the two groups was estimated in a cube of $6{\times}6{\times}6\;mm^3$ centered at the verification point. Under the assumption that setup errors existed during the DQA measurements of the examination group, a three dimensional offset point inside the cube was sought out, where the individual field dose difference was minimized. The average dose gradients of the control group along the x, y, and z axes were 0.21, 0.20, and 0.15 $cGy{\cdot}mm^{-1}$, respectively, while those of the examination group were 0.64, 0.48, and 0.28 $cGy{\cdot}mm^{-1}$, respectively. All 16 plans of the examination group had their own 3D offset points in the cube. The individual field dose differences recalculated at the offset points were mostly diminished and thus the average values of total and individual field dose differences were reduced from 3.1% to 2.2% and 15.4% to 2.2%, respectively. The offset distribution turned out to be random in the 3D coordinate. This study provided the quantitative data that support the large individual field dose difference mainly stems from possible geometric errors (e.g., random setup errors) under the influence of steep dose gradients of IMRT field.

임상치료사를 위한 신경학적 검사의 이해 (Understanding of Neurological Examination for Clinical Therapist)

  • 김병조
    • 대한물리의학회지
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    • 제2권2호
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    • pp.229-236
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    • 2007
  • Clinical therapist use neurological examination to acquire the necessary information from the patients who is neurological damaged. It is necessary to have enough neurological knowledge and clinical experience to collect useful data. Neurological disease of symptom is well correspond with anatomical location and function, therefore neurological examination is one of the powerful tool to diagnosis. These tools will be a great help to clinical therapist to evaluate the patients and helps to select most pertinent treatment approach to patients. Neurological examination can classified and evaluate with Mental Status Examination, Cranial Nerves Examination, Motor and Sensory System Examination, Reflexes, Gait and Station Evaluation, Special Maneuver. Generally, various neurological examination tools are used by therapist in clinical field. Understanding of method of Neurological examination tools and understanding of result of examination from patients's response is very important. Therefore, this research will help to understand clinical meaning by neurological examination.

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대학입시에서의 선택과목 점수 표준화에 관한 연구 (A Study on a Standardized Scoring System of Selected Subjects for College Entrance Examination)

  • 박성현;김춘원;박준오
    • 품질경영학회지
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    • 제28권3호
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    • pp.124-132
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    • 2000
  • A selected subject and a standardized scoring system were newly enforced at college entrance examination from 1999. A selected subject system means each student can select one subject in addition to common subject in the field of mathematical research II and a standardized scoring system means we standardize the score of each field as mean 50 and standard deviation 10 in order to adjust the degree of difficulty between fields. In the field of mathematical research II, there may exist not only difference of the degree of difficulty but also that of general studying ability between groups of selected subjects. So when we standardize score, we have to consider them. So far a linear equating which is a parametric method and an equi-percentile equating which is a nonparametric method have been published, but both of them supposed that the general studying ability between groups was equal. So in this paper an adjusted linear and percentile equating method which seems to be adequate to our entrance examination is suggested and is investigated by computer simulation.

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국가시험 보안업무의 발전적 방안연구 (A Study on Development of National Examination Security Service)

  • 하정훈
    • 시큐리티연구
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    • 제55호
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    • pp.75-95
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    • 2018
  • 본 연구는 국가시험 보안업무 관련분야 학위소지자와 국가시험 보안업무현장에서 출입관리 및 보안검색 등의 종합적인 보안업무를 수행하고 있는 현장전문가들이 현재 인지하고 있는 문제점들을 바탕으로 국가시험 보안업무 운영의 발전적인 방안을 모색하는 목적을 두고 있다. 이러한 연구의 목적을 위해서 관련분야 학위 소지자 5인과 경력 6년 이상의 현장전문가 7인에게 면담조사를 실시하여 자료를 분석하였다. 이들은 국가시험 보안업무운영의 발전적인 방안을 다음과 같이 제시하였다. 첫째, 국가시험 보안업무에 적합한 교육프로그램이 시행되어져야 한다. 둘째, 재난 및 응급상황 대처교육이 추가적으로 이루어져야 한다. 셋째, 국가시험 보안업무에 투입되어지는 요원들은 정신교육과 검색장비 및 첨단장비 관련 교육이 필요시 된다. 넷째, 경비업법에 국가시험 보안업무를 명시하여, 법규와 제도가 적극적으로 대응할 수 있도록 하여야 한다. 다섯째, 관계기관(계약상대방)은 용역비용을 재 산정 후 현실에 맞게 인상하여야 한다. 여섯째, 국가시험 보안업무에 경비원 신임교육을 이수한 경비원들이 투입되어질 수 있도록 하여야 한다.

일반 방사선검사의 소요 시간 실태조사 (Investigation of the Time Required for General Radiography)

  • 임우택;주영철;김연민
    • 대한방사선기술학회지:방사선기술과학
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    • 제45권3호
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    • pp.255-262
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    • 2022
  • In this study, by analyzing the examination time for each procedure, the appropriate workload of radiologic technologist is analyzed based on the actual examination time in the current clinical setting by comparing with the examination time in the radiology field setting of the health insurance review and assessment service. In addition, this result is introduced into the calculation of relate value units; it was attempted to provide accurate and objective evidence in the field of radiology. From May 2020 to December 2021, the study retrospectively investigated the examination times recorded in the electronic medical record and picture archiving and communication system at 5 tertiary general hospitals and 1 general hospital. The total of 16 examination parts are applied in this study, including the head, sinuses, chest, ribs, abdomen, pelvis, cervical, thoracic, lumbar, shoulder, elbow, wrist, hip, femur, knee, and ankle. The minimum number of images that could be obtained per radiation generator was 3.6 images for one hour, and the maximum was 6.4 images. When 50% median of procedure time is calculated, the minimum number of images that could be obtained was 16.7 images and maximum was 35.3 images; in addition, minimum examination time is 1.7 minutes, and maximum time is 3.6 minutes. In conclusion, it is judged that there will be insufficient explanation time for basic infection instructions such as hand hygiene during the examinations in current clinical practice. It is believed that radiologic technologists will contribute to providing higher-quality of radiation examination services to the public by complying with guidelines for work and setting appropriate workload on their own.

2001년 이후 한국 건축사자격시험제도의 변화에 관한 연구 (A Study on the Changes of Qualifying Examination System for the Registered Architects since 2001, Korea)

  • 박상현
    • 대한건축학회연합논문집
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    • 제9권1호
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    • pp.79-88
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    • 2007
  • Recently a lot of changes take place in the field of architecture. Among them the preparation for architectural accrediting program and qualifying examination system for the registered architects are remarkable. The aim of this study is to inspect carefully the changes of qualifying examination system for the registered architects since 2001 and to recognize how to research consistently for the future. Especially passing system classified by subjects begins in 2005 influenced by U.S.A. and many specialists concerned have made effort to erect more objective and fair standards. It is also necessary to conduct the differentiated researches on the exams system & the criteria of questions for exams because the candidates completed the architectural accrediting program will take the first exams in 2010. To do this, the importance is that we have to understand a series of continuity such as education-training-examination and to establish the closer relationship between educational curriculum for the students and qualifying examination for the registered architects.

Study on the Development of Training Programs for Standardized Patients of the Practical Examination Portion of the National Dental Licensing Examination

  • Chun, Yanghyun;Kim, Young-Jae;Kim, Jooah;Kim, Yun Jin;Park, Byung Keon;Shim, June-Sung;Cho, Lee-Ra;Yang, Sujin;Shin, Donghoon
    • Journal of Korean Dental Science
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    • 제13권2호
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    • pp.43-51
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    • 2020
  • Purpose: The practical examination portion of the National Dental Licensing Examination (NDLE) is slated to be administered in the latter half of 2021 in the form of a clinical performance examination that comprehensively evaluates the patient-dentist interaction using standardized patients (SPs). The SPs should be equipped with the basic qualities and capacity as evaluators for a fair and reliable administration of the test. Materials and Methods: In this study, we analyzed the existing training materials for SPs who participated in domestic and overseas practical tests for the development of training materials for SPs through seminars and surveys of 11 dentistry schools and colleges. Result: First, SPs should be selected according to the basic quality criteria and capacity, which they must possess, and the preliminary basic training about the details which they must have knowledge of and be provided through videorecorded cases before the implementation of the preliminary field training. Second, the roles of SPs and the calibration process of the evaluation result forms are needed when conducting the preliminary field training for SPs. After watching video-recorded scenario cases, the SPs participate in discussions about the watched videos before proceeding to calibration practices of evaluation result forms. Third, because the Type A questionnaire of the practical examination of the NDLE is dependent on the SPs' capacity and training, the fairness of the practical test is largely dependent on the SPs. Therefore, practicing the roles as evaluators and evaluation training should be provided using practical test items that can improve the reliability of the test and show a high level of reproducibility about the same case. Conclusion: The findings of this study will be utilized for the development of training materials for SPs, so they can participate in the administration of a fair and reliable practical examination of the NDLE.