• Journal of radiological science and technology
• /
• v.37 no.3
• /
• pp.177-185
• /
• 2014

This study focused on effects of patient exposure dose reduction with AEC (Auto Exposure Control) marker that is designed for showing location of AEC in X-ray Chest radiography. It included 880 adults who have to use Chest X-ray Digital Radiography system (DRS, LISTEM, Korea). AEC (Ion chambers are posited in top of both sides) are used to every adult and set X-ray system as Field size $17{\times}17inch$, 120kVp, FFD 180cm. 440 people of control group are posited on detector to include both sides of lung field and the other 440 people of experimental group are set to contact their lung directly to Ion chamber (making marker to shows location). Then, measured every DAP and, estimated patient effective dose by using PCXMC 2.0. The average age of control group (M:F=245:195) is 53.9 and the average BMI is 23.4. BMI ranges from under weight: 35, normal range: 279, over weight: 106 to obese: 20 and average DAP is 223.56mGycm2, Mean effective dose is 0.045mSv. The average age of experimental group (M:F=197:243) is 53.7 and the average BMI is 22.7. BMI ranges from under weight: 34, normal range: 315, over weight: 85 to obese: 6 and average DAP is 207.36mGycm2, Mean effective dose is 0.041mSv. Experimental group shows less Mean effective dose as 0.004mSv (9.7%) than control group. Also, patient numbers who got over exposure more than 0.056mSv (limit point to know efficiency of AEC marker) is 65 in control group (14.7%), 19 in experimental group (4.3%) and take statistics with t-Test. The statistical difference between two groups is 0.006. In order to use proper amount of X-ray in auto exposure controlled chest X-ray system, matching location between ion chamber and body part is needed, and using AEC marker (designed for showing location of ion chamber) is a way to reduce unnecessary patient exposure dose.

• The Journal of the Korea Contents Association
• /
• v.18 no.2
• /
• pp.200-215
• /
• 2018

This research refers to the importance of health care in relation to the establishment of health care facilities and health care facilities in the rapidly changing health care environment, and the influence of health care in relation to the customer's satisfaction with health care. Orthographic analysis First, a hypothesis was adopted that the attractiveness of building materials will affect the positive (+) impact of the customer's satisfaction. Second, the hypothesis that the transport infrastructure will have a significant impact on the customer's satisfaction with the customer's satisfaction has been denied. Third, the hypothesis that the building appeal will have a significant effect on the health of the medical industry is adopted. Fourth, the hypothesis that the transport infrastructure will have a significant impact on health care is adopted. Fifth, the hypothesis that medical integration will have a significant impact on the customer's satisfaction with the customer's satisfaction is adopted. Sixth, the hypothesis that the relationship between the building and the customer's satisfaction in relation to the relationship between the client and the client was found to be partly attributable to the fact that there was a partial role. The assumption that the relationship between the transport infrastructure and the customer's satisfaction in relation to the traffic infrastructure was established has been identified as a complete parameter. The results of this study could be applied to provide the basis for selecting the location for future health care facilities.

• Journal of radiological science and technology
• /
• v.41 no.1
• /
• pp.7-12
• /
• 2018

Patients who visit the emergency room with urinary stones have difficulty lying down in a supine position due to severe pain when performing the KUB test. The purpose of this study was to find methods to reduce the patients' pain and image distortion, and obtain medical images with high diagnostic values. After checking the standard classification of disease and cause of death, the target group consisted of 121 patients who had clearly distinguished stones from computed tomography. Patients with stones in the ureteralvesical junction were excluded. Qualitative image evaluation was performed by confirming the location of the stone in the computed tomography images. and evaluated the rate of visual discrimination of stones possible through KUB and abdominal plain X-ray. Quantitative image evaluation was performed on the KUB, abdominal plain X-ray images. The transverse process of the first lumbar vertebrae served as the standard point, and the length from this point to the lower part of the stone was measured. Results from looking at the rate of visual discrimination of stones possible through KUB and abdominal plain X-ray showed: 94 patients (77.6%) for KUB images and 91 patients (75.2%) for computed tomography images. The standard deviation for KUB and abdominal X-ray was 3 (2.4%). Comparing and analyzing the location from KUB images and abdominal plain X-ray images, the stone position was 10.1 mm in the kidney, 10.5 mm in the ureteropelvic junction, and 9.7 mm in the ureters. It was shown that the stone moved 10 mm on average with significant statistical difference (P<0.05). In cases where the pain is so severe that it is impossible to perform the test in the supine position, an alternative may be to check the stone position by performing a modified KUB test by having the patient stand in a vertical position. In the future, this will provide convenience to both the examiner and the patient when performing the examination, and it will contribute with its reproducibility.

• Journal of Korean Neurosurgical Society
• /
• v.29 no.8
• /
• pp.1063-1068
• /
• 2000

Objectives : To determine the contribution of cranial magnetic resonance angiography(MRA) for the evaluation of patients with ischemic cerebrovascular accident. Methods : Magnetic resonance image(MRI) and MRA studies performed on 34 patients with ischemic stroke were retrospectively reviewed with the clinical records. Results : There were 9 transient ischemic attacks and 25 completed strokes in our series. Twenty-three of 34 MRA examinations(68%) were positive for stenosis or occlusion. The distribution of stenotic or occlusive vascular lesions were correlated with the location of infarction in 22 of the 23 positive cases(96%). MRA provided additional information not obtained from the MRI in 19 cases(56%). Conclusions : Vascular lesions demonstrated on intracranial MRA show a high correlation with infarct distribution. MRA provided information adjunctive to conventional MRI in a majority of cases. We conclude that MRA is an important noninvasive component of the complete evaluation of ischemic stroke.

• The Journal of Korean Physical Therapy
• /
• v.25 no.2
• /
• pp.64-70
• /
• 2013

Purpose: The purpose of this study was to provide information and suggestions for improvement of the intern physical therapist. Methods: I used 'intern physical therapist' as a keyword, and searched using the Google Search Appliance. Hospitals in the Seoul metropolitan region were selected. Twenty six hospitals that operate the intern physical therapist system were selected. A survey was conducted using questionnaires from August 20, 2012 to August 30, 2012. Among the 26 submitted questionnaires, 24 responded, and the results were analyzed using IBM SPSS Statistics 19.0. Results: 1. Education: (1) Sexual harassment prevention training, infection control training was lower at the rehabilitation hospital and semi hospital than at the university hospital and general hospital. (2) The rehabilitation hospital provided more education for intern physical therapists than the university hospital. (3) University hospital practice location was more diverse than that of the rehabilitation hospital. (4) In the rehabilitation hospital, education of practical skill was somewhat higher. 2. The employment rate of people who have completed an internship was higher in the rehabilitation hospital than the university hospital. Conclusion: Trial employment is more reasonable than intern physical therapist at the semi general hospital and rehabilitation hospital. Council is needed for decisions regarding internship training curriculum.

• Journal of Chest Surgery
• /
• v.50 no.4
• /
• pp.291-294
• /
• 2017

A 74-year-old patient presented with recurrent aneurysms in the infrarenal abdominal aorta and right common iliac artery 6 years after endovascular aortic repair using endografts in the same location. The patient underwent an aorto-bi-iliac replacement with removal of the stent graft. Two holes measuring 2 mm each were found in the removed graft, and they appeared to have been caused by wear from continuous friction between the endograft and the aortic wall.

• The Korean Journal of Health Service Management
• /
• v.11 no.4
• /
• pp.67-76
• /
• 2017

Objectives : This study compared Value added to personnel expenses between 12 private general hospitals and 12 regional public hospitals, based on location and size, to examine industry competitiveness in terms of management. Methods : From 2011 to 2015, the value added and value added to personnel expenses were calculated by year. and a SPSS statistical program was used to determine and influential factors between private general hospitals and regional public hospitals. Results : The total value added to personnel expenses was 26.85 percent lower than general hospitals compared to regional public hospitals. The product category most influenced by the value added to personnel expenses was Stationeries & expendables at general hospitals and Outsourcing at regional public hospitals. Conclusions : Regional public hospitals have relatively low value added to personnel expenses compared to the general hospitals. Therefore, it is necessary for hospital management to reexamine gross revenue relative to total manpower.

• Clinics in Shoulder and Elbow
• /
• v.6 no.1
• /
• pp.67-71
• /
• 2003

The shoulder is the most common site in the body for calcific deposition. Calcific tendinitis is one of the common lesions of the painful shoulder. The surpaspinatus tendon is the most frequently affected location, next the infraspinatus and relatively rare the subscapularis tendon. We report upon a case of calcific tendinitis of subscapularis tendon alone, which developed in a 61-year-old female after minor trauma and was treated successfully with surgical excision.

• Journal of Korean Neurosurgical Society
• /
• v.52 no.6
• /
• pp.558-560
• /
• 2012

The 5-aminolevulinic acid (5-ALA)-induced tumor fluorescence is a useful intraoperative marker for the diagnosis and the detection of various malignancies, but its use in meningioma is only reported infrequently. In meningioma, a complete resection of the tumor mass is crucial for the prevention of recurrence and postoperative morbidities. Deep sylvian meningioma is a rare type of meningioma where complete tumor removal is complicated by its deep anatomical location and close involvement with the middle cerebral artery. From our experience, 5-ALA-mediated fluorescence facilitated a safe excision whilst preserving critical neurovascular structures. To our best knowledge, this is first report from use of 5-ALA in a deep sylvian meningioma.

• Journal of Korean Neurosurgical Society
• /
• v.47 no.6
• /
• pp.454-457
• /
• 2010

Pure ventral midline giant schwannoma is an extremely rare entity. Spinal intradural extramedullary schwannomas commonly occur posterolateral or anterolateral to the spinal cord. A case of a pure midline ventrally situated giant pan cervical extramedullary schwannoma in an 18-year-old male patient with compressive myelopathy and sphincter involvement is presented. Spinal MR imaging showed a midline ventrally situated extramedullary tumor with severe spinal cord compression extending from clivus to C7 vertebra. It was resected through a posterolateral approach. Histology was consistent with a schwannoma. Post operative MR imaging showed no evidence of the tumor. The radiological features, pathogenesis and surgical strategies in management of these difficult tumors are discussed and the relevant literature is briefly reviewed.