• Title/Summary/Keyword: Laboratory examinations

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Study on the Professionalism of Medical Technologists' Work in Health Examination Centers: Focusing on the General Health Examination (건강검진센터에서 임상병리사의 업무 전문성 연구: 일반건강검진을 중심으로)

  • Sung, Hyun Ho
    • Korean Journal of Clinical Laboratory Science
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    • v.52 no.3
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    • pp.271-277
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    • 2020
  • "Health examinations" means medical examinations conducted by health examination institutions, including a physical examination, consultation, physical measurement, diagnostic laboratory test (also known as clinical laboratory test, clinical pathology test), pathology test, and Imaging test for checking the health condition and the prevention and early detection of diseases. The types of health examinations include general health examinations, comprehensive health examinations, special health examinations, and other health examinations. The proportion of the general health examination work of medical technologists working at health examination centers has been estimated to comprise more than 50% of the total work. The cost aspect of suspicious diseases can be estimated to be more than 25%. The cost of diagnostic laboratory test has been estimated to be approximately 5%, and the proportion of medical diagnosis use is 70%. The results show that it is time to revisit whether medical technologists are receiving appropriate social, economic, and reasonable policy treatment in health examination work. The future of medical technologists will further expand their professionalism in diagnostic laboratory test and quality control in precision medicine and telemedicine in the future. Therefore, medical technologists will need to participate proactively in government policy decisions related to national health examinations and make efforts to improve treatment.

An Automated Draft Report Generator for Peripheral Blood Smear Examinations Based on Complete Blood Count Parameters

  • Kim, Young-gon;Kwon, Jung Ah;Moon, Yeonsook;Park, Seong Jun;Kim, Sangwook;Lee, Hyun-A;Ko, Sun-Young;Chang, Eun-Ah;Nam, Myung-Hyun;Lim, Chae Seung;Yoon, Soo-Young
    • Annals of Laboratory Medicine
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    • v.38 no.6
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    • pp.512-517
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    • 2018
  • Background: Complete blood count (CBC) results play an important role in peripheral blood smear (PBS) examinations. Many descriptions in PBS reports may simply be translated from CBC parameters. We developed a computer program that automatically generates a PBS draft report based on CBC parameters and age- and sex-matched reference ranges. Methods: The Java programming language was used to develop a computer program that supports a graphical user interface. Four hematology analyzers from three different laboratories were tested: Sysmex XE-5000 (Sysmex, Kobe, Japan), Sysmex XN-9000 (Sysmex), DxH800 (Beckman Coulter, Brea, CA, USA), and ADVIA 2120i (Siemens Healthcare Diagnostics, Eschborn, Germany). Input data files containing 862 CBC results were generated from hematology analyzers, middlewares, or laboratory information systems. The draft reports were compared with the content of input data files. Results: We developed a computer program that reads CBC results from a data file and automatically writes a draft PBS report. Age- and sex-matched reference ranges can be automatically applied. After examining PBS, users can modify the draft report based on microscopic findings. Recommendations such as suggestions for further evaluations are also provided based on morphological findings, and they can be modified by users. The program was compatible with all four hematology analyzers tested. Conclusions: Our program is expected to reduce the time required to manually incorporate CBC results into PBS reports. Systematic inclusion of CBC results could help improve the reliability and sensitivity of PBS examinations.

Working Environment and Scope of Otorhinolaryngology Laboratory Personnel in South Korea (국내 이비인후과 검사인력의 근무 환경과 업무 범위)

  • Younghoi AN;Minho HAN;Eul Sung HWANG;Hyun Jin PARK;Bon-Kyeong KOO;Min Woo LEE;Gibong KIM;Suhng Wook KIM
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.1
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    • pp.52-64
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    • 2023
  • This study aimed to examine the types and characteristics of otorhinolaryngology examinations performed by clinical laboratory technologists and to investigate the working environment and scope of work of otorhinolaryngology laboratory personnel using online questionnaires. Based on the research results, constructive policy measures for the University-Association-Society were also presented. Most of the survey respondents were in their 40s (34.1%). Females accounted for 80.2% of respondents and 30.8% of them had a career spanning 15 years or more. We found that laboratory personnel had a wide scope of work, high work stress and frequently suffered occupational diseases. We observed that, to reduce stress and increase satisfaction, an expansion of the workforce was necessary. Compared to other occupations, 72% of clinical laboratory technologists occupied more senior positions, occupational distribution depended on senior positions (P<0.001). Clinical laboratory technologists performed about 26 types of otorhinolaryngology examinations. The most frequent test performed daily was pure tone audiometry, and polysomnography took the longest test time, with an average of 8 hours. In conclusion, clinical laboratory technologists were in charge of various specialized otorhinolaryngology examinations. Considering the importance of clinical laboratory technologists in otorhinolaryngology, the University-Association-Society should put in additional effort into nurturing otorhinolaryngology examination experts.

The Study on the improvement of dental technician practical examination II (치과기공사 실기시험 개선에 관한 조사 연구 II)

  • Bae, Eun-Jeong;Kim, Ki-Baek;Kim, Woong-Chul;Kim, Ji-Hwan;Yu, Chin-Ho;Lee, Gyu-Sun
    • Journal of Technologic Dentistry
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    • v.36 no.1
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    • pp.39-49
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    • 2014
  • Purpose: The purpose of this study is to investigate the improvement measures of dental technician practical examinations. Methods: A survey was performed on 37 professors through a questionnaire. The results were analyzed by SPSS 12.0. The collected data was analyzed by frequency and the chi-square test. Results: The education compared to the satisfaction of practice examinations only differs in the method of enforcement(p<.05). The evaluations on the ability to perform the job with practical subjects were inadequate (37.8%). Questions with the most necessary work tools through the articulator was highest at 48.7%, Electric wax carver was 32.4%, and heating clear was 3.5%. Conclusion: There must be an improvement to increase the cooperation within the clinical department, while considering the practical exam environment.

Optimization of Trichomonas vaginalis Diagnosis during Pregnancy at a University Hospital, Argentina

  • Testardini, Pamela;Vaulet, Maria Lucia Gallo;Entrocassi, Andrea Carolina;Menghi, Claudia;Eliseht, Martha Cora;Gatta, Claudia;Losada, Mirta;Touzon, Maria Sol;Corominas, Ana;Vay, Carlos;Tatti, Silvio;Famiglietti, Angela;Fermepin, Marcelo Rodriguez;Perazzi, Beatriz
    • Parasites, Hosts and Diseases
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    • v.54 no.2
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    • pp.191-195
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    • 2016
  • The aim of this study was to evaluate different methods for Trichomonas vaginalis diagnosis during pregnancy in order to prevent maternal and perinatal complications. A total of 386 vaginal exudates from pregnant women were analyzed. T. vaginalis was investigated by 3 types of microscopic examinations direct wet mount with physiologic saline solution, prolonged May-Grunwald Giemsa (MGG) staining, and wet mount with sodium-acetate-formalin (SAF)/methylene blue method. PCR for 18S rRNA gene as well as culture in liquid medium were performed. The sensitivity and specificity of the microscopic examinations were evaluated considering the culture media positivity or the PCR techniques as gold standard. The frequency of T. vaginalis infection was 6.2% by culture and/or PCR, 5.2% by PCR, 4.7% by culture, 3.1% by SAF/methylene blue method and 2.8% by direct wet smear and prolonged MGG staining. The sensitivities were 83.3%, 75.0%, 50.0%, and 45.8% for PCR, culture, SAF/methylene blue method, and direct wet smear-prolonged MGG staining, respectively. The specificity was 100% for all the assessed methods. Microscopic examinations showed low sensitivity, mainly in asymptomatic pregnant patients. It is necessary to improve the detection of T. vaginalis using combined methods providing higher sensitivity, such as culture and PCR, mainly in asymptomatic pregnant patients, in order to prevent maternal and perinatal complications.

A Study of the Living Habits and Results of Health Examinations of University Students according to Sasang Constitution (사상체질(四象體質)에 따른 대학생들의 생활습관과 건강검진 결과 분석)

  • Jeong, Mi-Kyung;Jung, Ki-Yong;Jun, Chan-Yong;Park, Jong-Hyeong;Choi, You-Kyung
    • Journal of Society of Preventive Korean Medicine
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    • v.16 no.3
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    • pp.1-13
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    • 2012
  • Objectives : This study aimed to analyze the living habits and results of health examinations of university students according to Sasang constitution. Methods : We measured the height, weight, body mass index, and blood pressure of 2,387 university students, performed laboratory examinations, and conducted a questionnaire survey of their eating, drinking, smoking, and exercise habits. Their Sasang constitution was diagnosed by using the Questionnaire of Sasang Constitution ClassII(QSCCII). All the data were analysed statistically by descriptive statistics, chi-square test, ANOVA, tukey's multiple comparisons Results : The Taeeumin group mostly ranged in overweight sector of the BMI, and this group showed significantly higher blood pressure and AST, ALT, GGT, LDH, CPK, Creatinine, Uric acid, total cholesterol, TG, and LDL levels than other groups, while having a lower HDL level. In the living habits survey, the Taeeumin group showed the highest proportion of "overeating", and the lowest proportion of "eating slowly". This group had the highest value of quantity of alcohol drinking, highest proportion of hazardous drinkers, and highest smoking rate of the three constitutions. Conclusions : In the results of this study, there were significant differences in the living habits behaviors, and the results of health examination, between the three constitutions. In particular, individuals of the Taeeumin group have a high possibility of getting chronic disease, such as hypertension, diabetes mellitus, hyperlipidemia, and obesity; and need to improve their living habits.

Cutaneous angiomatosis in a dog: a case report

  • Koo, Yoonhoi;Yun, Taesik;Chae, Yeon;Lee, Dohee;Kim, Hakhyun;Yang, Mhan-Pyo;Kang, Byeong-Teck
    • Korean Journal of Veterinary Research
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    • v.61 no.3
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    • pp.28.1-28.4
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    • 2021
  • A 1-year-old castrated mixed-breed dog presented with diffuse, purple lesions arranged in an irregular patchy pattern, with a slight elevation on the right hindlimb extending from the tarsus joint to the upper region of the thigh. Dermatological examinations and fungal and bacterial cultures revealed no infectious agents. The therapeutic response to antibiotics and antifungal agents was negative. A histopathology examination of the lesion revealed vascular proliferation with vasodilation and numerous varying-sized vessels. Mast-cell-dominated perivascular cuffing was also noted. The dog was diagnosed with cutaneous angiomatosis due to diffuse lesions and the histopathology findings of hemangioma.

The relationship between the sasangchaejil and the results of laboratory examinations (사상체질과 임상검사 결과와의 상관관계)

  • Lee, Yong-Koo;Sul, In-Chan
    • Journal of Haehwa Medicine
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    • v.8 no.2
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    • pp.383-397
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    • 2000
  • Background/Aims: Dong-Moo Lee Jae-Ma(1837-1900) confirmed the sasangchaejil theory based on the sasang-medicine. This theory has been the main-stem of oriental medicine during 100 years in Korea. But rarely anyone has tried to prove this theory systemicaly. So we have a trial to clarify any relationship between the sasangchaejil and the laboratory and clinical results of mass screening tests. Methods: We evaluated the laboratory values of 280 people who had taken many clinical and laboratory tests. The laboratory examinations were complete blood count, liver and kidney function test, ultrasonogram of the abdomen and breasts, gastrofiberscope, many tumor markers body mass index, blood pressure, glucose, and electrocardiogram, etc. Results: 1) Among the 280 subjects, 187/66.8% were sowumin, 58/20.7% were taewumin and 35/12.5% were soyangin. 2) Those who reacted positive to HBsAb were 22 subjects(62.8%) in soyangin, 57.2% in sowumin and 55.1% in raewumin. But there were no significant correlations. 3) 45 subjects(72.4%) in taewumin had obesity, fatty liver and hyperlipidemia.(P<0.05) 4) 20.6% in taewumin had abnormal LFT suggesting hepatic disease. It was statistically sigificant.(P<0.05) 5) An anemic state was present in women of soyangin and sowumin mostly. Since an iron deficiency anemia is common in women, there were no significant corelations among sasangchaejil. Also urinary tract infectons were common in women. 6) 6 subjects in taewumin(10.3%) had cardiac problems, while only one case(2.8%) occured in soyangin and 7 cases(3.7%) in sowumin. Taewumin was significantly high.(P<0.05) 7) In the case of gastric disease, there was no distinguishable difference among sasangchaejil.(taewumin 37.9%, soyangin 31.4% and sowumin 35.2% rrespectively) 8) There was no significant difference beteen subjects with different blood types using sasangchaejil. Conclusions: There were some significant relationship between sasangchaejil and diseases prevalent to them by the theory of sasang-medicine. But Lee didn't considered the differences of gender, the change of body status according to the development of culture, and circumstances of their lives. Also he didn't consider the existence of infectious agents. Now more systemic study with larger populations are requied.

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Prevalence and Comparison of Diagnostic Methods for Trichomonas vaginalis Infection in Pregnant Women in Argentina

  • Perazzi, Beatriz E.;Menghi, Claudia I.;Coppolillo, Enrique F.;Gatta, Claudia;Eliseth, Martha Cora;De Torres, Ramon A.;Vay, Carlos A.;Famiglietti, Angela M. R.
    • Parasites, Hosts and Diseases
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    • v.48 no.1
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    • pp.61-65
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    • 2010
  • The objectives of this study were to conduct a prevalence survey of trichomoniasis in pregnant women and to evaluate the utility of different methods for its diagnosis. A total of 597 vaginal exudates from pregnant women who were examined at the Hospital de Clinicas in Buenos Aires, Argentina from 1 August 2005 to 31 January 2007, were prospectively and consecutively evaluated. The investigation of Trichomonas vaginalis was made by different microscopic examinations, and culture on liquid medium. The sensitivity and specificity of the microscopic examinations were assessed considering culture on liquid medium as the "gold standard". The prevalence of T. vaginalis obtained by culture on liquid medium was 4.0% (24/597). The prevalence of T. vaginalis obtained by direct wet smear, prolonged May-Grunwald Giemsa staining, and sodium acetate-formalin (SAF)/methylene blue staining-fixing technique was 1.8%, 2.3% and 2.5%, respectively. The sensitivity of the direct wet smear was 45.8%, that of the prolonged May-Grunwald Giemsa staining was 58.3%, and that of the SAF/methylene blue method was 62.5%. Considering the 3 microscopic examinations altogether, the sensitivity rose to 66.7% and the specificity was 100% for all of them. This is the first time that the prevalence data of T. vaginalis by culture in pregnant women are published in Argentina. Due to the low sensitivity obtained by microscopy in asymptomatic pregnant women, the use of the liquid medium is recommended during pregnancy, in order to provide an early diagnosis and treatment.

Clinicopathological studies on the subclinical fascioliasis in the Korean native cows in Chonnam area (순수번식단지(純粹繁殖團地) 한우(韓牛)의 간질증(肝蛭症)에 관한 임상적(臨床的) 연구(硏究))

  • Lee, Chung-gil;Wee, Sung-ha;Park, Seung-joo
    • Korean Journal of Veterinary Research
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    • v.29 no.2
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    • pp.129-134
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    • 1989
  • Fecal samples were taken from 402 cows in Posung, Chonnam where was designated as a place for Korean native cattle breeding. Prevalence of internal parasitisms were determined by the fecal examinations using the floatation and sedimentation procedures. 62.9% of the cows were found as positive cases with excretion of the eggs of Fasciola hepatica in the fecal specimens. Of those infected with F hepatica 97 cows free of other pathogenic intestinal parasites were chosen for albendazole treatment. Albendazole tablets(10mg/kg) were administered to the cows twice at the interval of 4 weeks. Blood samples were collected via jugular vein prior to the first treatment, four weeks after the first treatment and four weeks after the second treatment, respectively. At the same time fecal samples were collected for parasitological examinations by sedimentation methods. The mean pretreatment count was 44 fluke eggs per gram of feces, which compared with 27 epg and 17 epg four weeks after the first and second treatment, respectively. Most of the hematological and biochemical values fluctuated within the normal ranges during the experiment. Eosinophil counts were high initially, decreased after the first treatment and thereafter remained steady. The opposite was the case with aspartate and alanine aminotransferases.

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