• Title/Summary/Keyword: medical exposure

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A Study on the Proper Chest Exposure Conditions of Mobile Digital X-ray Unit by Exposure Index (Exposure Index를 이용한 이동형 디지털 X선 장치의 흉부촬영 적정노출조건에 관한 연구)

  • Kim, Jae-In;Lee, Yang-Sub;Jang, Dong-Soo;Jung, Min-Cheol;Bae, Seung-Ho;Lee, Kwan-Sub;Ha, Dong-Yoon
    • Korean Journal of Digital Imaging in Medicine
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    • v.13 no.3
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    • pp.139-144
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    • 2011
  • The purpose of this report is recommending a standard indicator which reflects the radiation exposure that is incident on a detector after every exposure event and that reflects the noise levels present in the image data. The experiment was performed with mobile digital X-ray unit and used a acrylic phantom for exposure index measurement. Exposure modality was kVp, mAs, SID. After every exposure, make a data sheet for characteristic curve of detector response. The equipment performed Mobile digital X-ray unit provide the user with values ralated to the incident exposure(air kerma)to the digital detector. They are showed as a logarithmic function shaped. As a result, DEI means a relative measure of exposure to the detector, as compared to the expected exposure for a particular anatomical view. Radiographic technique is the combination of factors used to exposure an anatomical part to produce a high quality radiography and technique charts used most commonly by radiographers to produce consistently exposure level which patient dose can be kept acceptably low.

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Acute Radiation Syndrome in an Irradiated Minipig Model for Patients with Radiation Exposure

  • Jang, Hyosun;Kim, Joong-sun;Shim, Sehwan;Jang, Won-seok;Lee, Sun-Joo;Myung, Jae Kyung;Lee, Seung-Sook;Park, Sunhoo
    • Journal of Radiation Protection and Research
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    • v.42 no.3
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    • pp.146-153
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    • 2017
  • Background: Acute radiation syndrome (ARS) primarily refers to damage to the hematopoietic system, myeloid system, and gastrointestinal (GI) system caused by radiation exposure. Such damage progresses to become life-threatening. In particular, as the syndrome develops very rapidly-within several hours from radiation exposure-prompt and accurate diagnosis and treatment are needed, as is further research into appropriate diagnostic and treatment modalities. Materials and Methods: Minipigs, which display human-like properties, underwent whole-body irradiation at 2 or 4 Gy (doses causing hematopoietic ARS) or at higher doses of 7 or 12 Gy. Changes in the blood cells and clinical symptoms were analyzed and we performed a necropsy when the animals succumbed to ARS. Results and Discussion: The minipig irradiated with 2 Gy showed a decrease in white blood cells, including neutrophils, lymphocytes, and platelets in the early stages. However, the blood cell counts gradually increased and returned to normal values. The minipig irradiated with 4 Gy succumbed due to hematopoietic ARS. In contrast, the minipigs irradiated with 7 or 12 Gy exhibited clinical symptoms of combined GI damage and hematopoietic syndrome. Moreover, a characteristic pattern of platelet changes was observed in the 7 and 12 Gy irradiated minipigs. Conclusion: The changes in the platelet count caused by radiation exposure observed in minipigs, which are hematologically and pathohistologically similar to humans, suggest that they can be used as a novel diagnostic criterion.

Relationship between Exposure to Pesticides and Occurrence of Acute Leukemia in Iran

  • Maryam, Zakerinia;Sajad, Amirghofran;Maral, Namdari;Zahra, Lesan;Sima, Pooralimohamad;Zeinab, Attabac;Zahra, Mehravar;Fariba, Ebrahimi;Sezaneh, Haghpanah;Davood, Mehrabani
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.1
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    • pp.239-244
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    • 2015
  • Background: One of the causes of acute leukemia can be exposure to certain chemicals such as pesticides. This study determined the relationship between exposure to pesticides and the occurrence of acute leukemia in Fars province, south of Iran. Materials and Methods: Between April 2011 and April 2013 in a case-control study conducted in Nemazee Hospital in Shiraz, Southern Iran; 314 subjects diagnosed with acute leukemia (94 pediatric cases and 220 adults) were enrolled to determine any correlation between exposure to pesticides and the occurrence. Controls (n=314) were matched by sex and age. Results: There was a history of exposure to pesticides among 85% of pediatric cases and 69% of their controls and 83% of adult cases and 75% of their controls while 87.5% of pediatric cases and 90% of adult cases reported exposure to intermediate and high doses of pesticides and among the controls, the exposure to low doses of pesticides was 70.5% and 65%, respectively. Exposure to indoor pesticides was seen among most of cases and controls. Being a farmer was at a significantly more increased risk of developing acute leukemia in comparison to other jobs, especially for their children. Conclusions: Exposure to pesticides was shown to be one of the most important causes of acute leukemia. It seems that there is a need to educate the people on public health importance of exposure to pesticides especially during school time to reduce the risk of malignancies during childhood.

System Software Design of Computerized Tomography Radiation Dose Management (컴퓨터 단층촬영 방사선 노출 관리 시스템 소프트웨어 설계)

  • Yang, Yu Mi;Cho, Sang Wook;Lee, Kil Hung
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.10 no.3
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    • pp.41-48
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    • 2014
  • This paper provides the design of system software for the management of radiation dose that is generated by using computerized tomography(CT). Recently, the radiation leakage incident of Japanese nuclear power plant was in the news internationally and there is a growing interest not only in nuclear power plant but in medical radiation exposure. In spite of the fact that currently safety management of radiation is under control only the workers of the radiation involved, now the exposure management of patients have been required. As surgery and inspections using the radiation have increased, this medical radiation exposure is increasing too. But it is a real situation that medical institutions don't know the level of radiation exposure applied to the patient. Therefore, a system for managing the radiation exposure of a patient from the medical institution is required. This paper proposes a design of a software program that manages the radiation exposure of CT which is a typical imaging tool to use the radiation in the medical institution. By check the amount of radiation dose and set the limit of dose, we would be of help to optimize the medical exposure of the patient.

Influencing factors of prevention practices against infection exposure among emergency medical technicians in emergency rooms (응급실 응급구조사의 감염노출 예방행위 수행정도에 영향을 미치는 요인)

  • Sim, Kyung-Yul;Kim, Jee-Hee;Lee, Hyo-Cheol;Kim, Chul-Tae
    • The Korean Journal of Emergency Medical Services
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    • v.22 no.1
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    • pp.21-34
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    • 2018
  • Purpose: The purpose of this study was to investigate the influencing factors of prevention practices against infection exposure among emergency medical technicians (EMTs) in emergency rooms. Methods: A self-reported questionnaire was filled out by 100 EMTs in emergency rooms from June 1 to August 31, 2017. The questionnaire consisted of items concerning the defensive environment for the prevention of infection exposure, perception of preventive behavior, and degree of performance of preventive actions against infection based on a five-point Likert scale. Data were analyzed by descriptive statistics, ${\chi}^2$ test, ANOVA, Pearson's correlation coefficients, and linear regression. Results: The defensive environment for the prevention of infection exposure was 4.12. The perception of preventive action was 4.71, and the degree of performance of preventive actions against infection was 4.54. There was a significant relationship between the degree of performance of preventive actions against infectious exposures and the degree of perception of preventive behavior(r=.506, p=.01) and prevention of infectious exposure(r=.506, p=.01). The protective environment(B=.360, t=3.236, p=.002) and perceived level (B=.904, t=4.662, p=.000) were influenced by the degree of prevention of infection exposure. Conclusion: It is important to manage the protection environment for infection exposure prevention and to enhance the awareness of infection prevention actions against infection exposure among the EMTs in emergency rooms.

Occupational Radiation Exposure of Emergency Medical Technicians in Emergency Medical Centers in Korea (우리나라 응급의료센터 응급구조사의 직업적 방사선 노출)

  • Lee, Hyeongyeong;Park, Jeongim
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.27 no.3
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    • pp.170-179
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    • 2017
  • Objectives: This study aims to investigate the occupational radiation exposures of emergency medical technicians(EMTs) in emergency medical centers in Korea. The results will provide a basis for developing prevention programs to minimize adverse health effects relating to radiation exposure among emergency medical technicians working in this area. Methods: Radiation exposure doses were measured for twenty-two EMTs working in six emergency medical centers. Thermo Luminescent Dosimeters(TLD) were placed on three representative body parts, including chest, neck, and a finger. Measurements were conducted over the entire working hours of the participants for foor weeks. Dosimeters were analyzed according to a standard method by a KFDA-designated lab. Detection rate, annual radiation exposure dose, and relative levels to dose limit were derived based on the measured doses from the dosimeters. SPSS/Win 18.0 software(IBM, US) was used for statistical analysis. Results: Detection rates were 45.5%, 36.4%, and 45.5% for the dosimeters sampled from chest, neck, and a finger, respectively. The average annual doses were $2.39{\pm}3.44mSv/year$(range 0.38-10.0 mSv/year) for the chest, $2.72{\pm}3.05mSv/year$(2.00-11.34) for the neck, and $20.98{\pm}17.57mSv/year$(1.25-53.50) for the hand dose. The average annual eye dose was estimated to $3.61{\pm}2.37mSv/year$(1.50-8.34). The exposure dose levels of EMTs were comparable to those of radiologists, who showed relatively higher radiation dose among health care workers, as reported in another study. Conclusions: EMTs working in emergency medical centers are considered to be at risk of radiation exposure. Although the radiation exposure dose of EMTs does not exceed the dose limit, it is not negligible comparing to other professionals in health care sectors.

Status of Medical Exposure in Korea

  • Yoon, Sei-Chul;Kim, Il-Han;Kim, Sung-Hoon;Kim, Hyuck-Joo
    • Journal of Radiation Protection and Research
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    • v.35 no.3
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    • pp.96-98
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    • 2010
  • Medical use of radiation is increasing in recent times and its influence on the population creates almost the same amount of annual natural background radiation in industrialized countries in particular. Thus, medical radiation has become a social issue. This paper is a brief report on the status of medical exposure in Korea by way of consulting from the radiation-related medical societies in Korea.

Comparison of Neurotoxicity Induced by Some Glutathione Depletors in Mouse Cortical Cell Cultures

  • Lee, Gee-Woon;Lee, Kuy-Sook;Park, Sah-Hoon;Bae, Choon-Sang;Kim, Jong-Keun
    • The Korean Journal of Physiology and Pharmacology
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    • v.4 no.3
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    • pp.177-183
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    • 2000
  • We examined the neurotoxic effects of 3 glutathione (GSH) depletors, buthionine sulfoximine (BSO), diethyl maleate (DEM) and phorone, under the presence of trolox, cycloheximide (CHX), pyrrolidine dithiocarbamate (PDTC) or MK-801 in primary mouse cortical cell cultures. All three depletors induced neuronal death in dose and exposure time dependent manner, and decreased total cellular GSH contents. The patterns of the neuronal death and the GSH decrements were dependent on the individual agents. DEM $(200\;{\mu}M)$ induced rapid and irreversible decrement of the GSH. BSO (1 mM) also decreased the GSH irreversibly but the rate of decrement was more progressive than that of DEM. Phorone (1 mM) reduced the GSH content to 40% by 4 hr exposure, that is comparable to the decrement of BSO, but the GSH recovered and reached over the control value by 36 hr exposure. BSO showed a minimal neurotoxicity $(0{\sim}10%)$ at the end of 24 hr exposure, but marked neuronal cell death at the end of 48 hr exposure. The BSO (1 mM)-induced neurotoxicity was markedly inhibited by trolox or CHX and partially attenuated by MK-801. DEM induced dose-dependent cytotoxicity at the end of 24 hr exposure. Over the doses of $400\;{\mu}M,$ glial toxicity also appeared. DEM $(200\;{\mu}M)-induced$ neurotoxicity was markedly inhibited by trolox or PDTC. Phorone (1 mM) induced moderate neurotoxicity (40%) at the end of 48 hr exposure. Only CHX showed significant inhibitory effect on the phorone-induced neurotoxicity. These results suggest that the GSH depletors induce neuronal injury via different mechanisms and that GSH depletors should be carefully employed in the researches of neuronal oxidative injuries.

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Occupational Exposure to Steady Magnetic Fields and its Effect on Workers Blood Indices at an Electrolysis Unit

  • Ravandi, Mohammad Reza Ghotbi;Mardi, Hossein;Khanjani, Narges;Barkhordari, Abolfazl
    • Journal of Magnetics
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    • v.21 no.2
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    • pp.255-260
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    • 2016
  • The health effects of environmental and occupational exposure to steady magnetic fields is a matter of concern. The aim of this study was to evaluate the hematologic effects of exposure to steady magnetic fields at the electrolysis unit of a Copper complex. The population under study was the workers of the electrolysis unit of the copper refinery. The average steady magnetic field in the exposure group was 2.5 mT. The blood indices of workers exposure to steady magnetic fields after adjusting for confounders showed decreased white blood cells (except neutrophils) and increase in the number and volume of platelets. Red blood cells did not show any significant difference. Exposure to steady magnetic fields even in proposed safe limits may have hematologic effects on humans. There is a necessity for more research about the safe doses of exposure to magnetic fields.

A Study on Quality Control for Medical Image by Using Deviation Index of Digital Radiology (디지털 방사선 영상의 편차지수를 이용한 의료영상 품질관리에 관한 연구)

  • Jeong, Hoi-Woun;Min, Jung-Whan
    • Journal of radiological science and technology
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    • v.43 no.2
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    • pp.115-121
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    • 2020
  • In a digital radiation system using a Flat Panel Detector, we attempted to the quality control of digital radiography system using the Exposure Index and Deviation Index. Calibration was performed with the radiation quality suggested by the International Electrotechnical Commission, and through an experiment using a phantom, appropriate inspection radiation conditions applicable to medical institutions were selected. The study was conducted using the selected radiation conditions. Through those chest posterior anterior image, information such as examination conditions and exposure index was obtained. The deviation index was derived by analyzing the exposure index based on the target exposure index calculated by the phantom study. As for the analyzed exposure index, 97.1% was distributed within the range of ± 2.0 based on the deviation index. Quality control of medical images should be performed through management of inspection conditions through exposure index and deviation index and management of medical images.