U- 헬스의 최신 동향과 의료기사의 관계에 관한 연구

성현호,안용호,이동범,김상원,박창은 대한임상검사과학회 2012 대한임상검사과학회지(KJCLS) Vol.44 No.4

We investigated the latest trend of u-Health and relations with clinical technologist. Since 2000, Korea has become an aging society. Korea will become an aged society by 2018, and it is expected to enter the ultra-high aged society by 2026. Increase in over 65 years population means that the desire of medical service and care demand for the elderly is greatly required. In addition, many predicted Korean national health insurance would falter financially. Medical suppression policies and regulations are also amended continuously. U-Health based on the IT industry and development of related technologies and industries contains the variety concepts of telemedicine, telehealth, e-health, u-healthcare and POCT. Especially, the use of POCT supplied quick clinical examination is extending steadily in medical center and hospital, which will generate the field friction between nurses and medical technologists. In the transition situation from provider-centric service to consumer-driven health care system, this study recommended the principal role and correspondence of clinical laboratory workers and offered information about changes in healthcare market and the basic concept of expert system, measurement and the diagnosis principle to clinical technicians throughout the investigation of the recent research and government policy trends. .

경동맥초음파 검사를 활용한 대사증후군 인자의 융합연구

성현호,윤준 한국융합학회 2015 한국융합학회논문지 Vol.6 No.6

본 연구는 2014년 경기 남부의 종합건강검진센터에서 30-55세의 건강한 성인 47명을 대상으로 경동맥 초음파검사와 혈액검사 그리고 체격측정을 실시하여 성별과 연령 간에 동일한 집단으로 분석되었고, 대상자의 엉덩이둘레는 연령에 따라 40대가 50대보다 높은 결과로 나타났다(p<0.05). 경동맥 초음파 검사결과에서는 30대와 50대에서 차이를 보였다(p<0.05). CIMT와 BMI, CIMT와 엉덩이둘레에서 양의 상관관계를 보였다(p<0.05). 또한 혈압에서 CIMT와 수축기혈압은 양의 상관관계를 보였다(p<0.05). 결론적으로 이번 연구에서는 경동맥 내중막 두께로 대사증후군 인자와의 상관성을 입증하였으며, 향후 질병의 진단을 위해서는 초음파를 활용한 대사증후군 인자들의 융합적 연구가 보다 질적인 질병진단을 위해서는 지속적으로 연구되어야 할 것으로 사료된다. This study conducted a comprehensive health examination center in healthy adult subjects 47 people in the 30-55 age carotid ultrasound and a blood test and measurement physique is located in Gyeonggi Province in 2014, was analyzed in the same group between gender and age of the person hip circumference was higher than the 40s and 50s(p<0.05). Carotid ultrasound results showed differences in the 30s and 50s (p <0.05). CIMT and BMI, in CIMT showed a positive correlation with hip circumference (p <0.05). In addition, blood pressure and systolic blood pressure in the CIMT showed a positive correlation (p <0.05). In conclusion, in this study, we demonstrated a correlation between metabolic syndrome risk factor in carotid IMT, and continue to research needed for the diagnosis of diseases of the metabolic syndrome factor fusion research is utilizing ultrasound for a more qualitative disease diagnosis.

4차 산업혁명과 임상검사과학기술에 관한 연구

성현호,최광모,정유현,조은경 대한임상검사과학회 2019 대한임상검사과학회지(KJCLS) Vol.51 No.3

The aim of this study was to introduce clinical laboratory science techniques with the core technology of the 4th Industrial Revolution. Among the core technologies of the 4th Industrial Revolution, AI, IOT, block-chain, robotics, and nanotechnology were analyzed and linked by themes. The scope of the job of clinical laboratory technologists (also known as medical laboratory technologists and medical technologists) is laboratory medicine testing, pathology testing, and clinical physiology testing. Through a number of previous papers, 73 linkages in the laboratory medicine area, 27 linkages in the pathology area, and 47 linkages in the clinical physiology area were examined. In the 4th industrial revolution and clinical laboratory science techniques, AI (4), IOT (3), block-chain (4), robotics (3) and nanotechnology (15) sectors were surveyed. The limitation of this study was the limitation in collecting and analyzing all the data and non-clinical areas were not analyzed. In addition, there was no validity test and no similar study. In conclusion, the core technologies of the 4th industrial revolution and clinical laboratory science techniques are closely related. Therefore, further research on the future and social benefits of clinical laboratory science techniques is needed. 본 연구의 목적은 4차 산업혁명 핵심기술과 연계된 임상검사과학기술을 소개하는 것이다. 4차 산업혁명 핵심기술 중 인공지능, 사물인터넷, 블록체인, 로봇, 나노기술, 총 5개의 핵심기술을 테마별 분석 연계하였다. 임상병리사의 업무범위는 검사의학검사, 병리검사, 임상생리검사이다. 검사의학 분야의 최근기술은 73개, 병리학 분야는 27개, 임상생리학 분야는 47개로 조사하였다. 4차 산업혁명과 임상검사과학기술 연계는 인공지능은 4개, 사물인터넷 3개, 블록체인 4개, 로봇 3개, 나노기술 15 개로 조사하였다. 본 연구의 제한점은 모든 자료를 수집·분석에는 한계가 있었다. 비임상분야는 분석하지 못했다. 그리고 타당성 확인이 없었고 비슷한 연구가 없었다. 결론으로 4차 산업혁명 핵심기술과 임상검사과학기술은 밀접한 관련이 있다. 따라서 임상검사과학기술의 사회적 이익과 분야별 관련 후속 연구가 필요하다.

건강검진센터에서 임상병리사의 업무 전문성 연구: 일반건강검진을 중심으로

성현호,Sung, Hyun Ho 대한임상검사과학회 2020 대한임상검사과학회지(KJCLS) Vol.52 No.3

"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. "건강검진"이란 건강상태 확인과 질병의 예방 및 조기발견을 목적으로 건강검진기관을 통하여 진찰 및 상담, 신체계측, 진단검사, 병리검사, 영상의학 검사 등 의학적 검진을 시행하는 것을 말한다. 건강검진의 종류에는 일반건강검진, 종합건강검진, 특수건강검진, 기타건강검진이 있다. 건강검진센터에서 근무하고 있는 임상병리사들의 일반건강검진 업무의 비중은 전체 업무에서 50% 이상 기여를 하고 있는 것으로 추정할 수 있다. 질환의심 비용적인 측면은 25% 이상 기여하는 것으로 추정할 수 있다. 진단검사 비용은 약 5%로 추정되며 의학진단 사용 비율은 70%를 차지하고 있다. 본 연구 결과에서 임상병리사들이 건강검진 업무에서 사회적, 경제적, 정책적인 타당한 처우를 받고 있는가를 검토되어져야 할 것이다. 임상병리사의 미래는 향후 업무적으로 정밀의료와 원격의료에서 진단검사 및 질 관리에서 전문성이 더욱 확대될 것으로 예측된다. 따라서 임상병리사들은 국가건강검진 관련 정부정책결정에 적극적으로 참여하고 더불어 처우개선의 노력이 필요할 것이다.

임상병리기술학 전공 유사 취업연계 자격 현황

성현호,김대식,조영국,윤기남 대한임상검사과학회 2018 대한임상검사과학회지(KJCLS) Vol.50 No.4

본 연구의 목적은 임상병리 전공 유사 취업연계가 가능한 다양한 자격증을 조사하고 취득 방법과 활용 여부를 알아보고자하였다. 전공 외 취업 연계 가능 자격은 산업보건지도사, 도핑검사관, 청각관리사. 수화통역사, 보건교육사, 손해사정사, 생명보험 언더라이터, 행정관리사, 병원행정사, 보험심사관리사, 병원코디네이터 등이 있다. 임상병리기술학 전공 유사 관련 진출자격 현황으로는 임상시험코디네이터, 임상시험 모니터요원, 해부조직사, 화학분석기사, 위험물산업기사, 생물공학기사, 생물안전관리자, 생명공학기술지도사, 의료기기품질책임자, 실험동물기술원, 동물간호복지사, 선박의료관리자가 있다. 따라서, 임상병리사들이 현재 보유하고 있는 다양한 자격 현황의 사회분석조사가 필요할 것이며, 임상병리사 출신으로 다른 분야에서 근무하고 있는 현황조사도 필요할 것이다. 향후, 임상병리사는 개인의 업무역량 강화의 노력을 통하여 업무적 범위를 확대시키고, 사례를 공유하여 영역 확대와 전문성을 강화해야 할것이라고 생각한다. This study evaluated the various qualifications that can be linked to employment similar to the medical laboratory technology major. The qualifications for employment outside the medical laboratory technology major are industrial health instructor, doping control officer, audiologist, sign language interpreter, health education specialist, claim adjuster, Korea life underwriter, administrative manager, hospital administrator, insurance review manager, and hospital coordinator. The qualifications for employment similar to the medical laboratory technology major include the clinical research coordinator, clinical research associate, anatomist, analytical chemistry analysts, hazardous materials industry engineers, biotechnologist, biosafety managers, biotechnology technicians, medical device quality officers, animal care nurse, industrial engineer hazardous material, bioprocess engineer, biosafety officer, certified technology consultant, director of medical device quality control, laboratory animal technician, animal nursing technician, and cruise medical manager. Therefore, it is necessary to conduct a social analysis survey of the various qualifications currently held by medical technologists. In addition, it will be necessary to investigate the current status of medical technologists working in other fields. In the future, medical technologists should expand the scope of their work through efforts to strengthen their individual work capacity, share cases, and strengthen their expertise.

비정규직 외주화에 앞장서는 철도공사

성현호 한국비정규노동센터 2009 비정규 노동 Vol.- No.74

Experience of Reticulocytes Measurement at 720 nm Using Spectrophotometer

성현호,석동인,정유현,김대중,이석재 대한임상검사과학회 2017 대한임상검사과학회지(KJCLS) Vol.49 No.4

Currently, reticulocyte experimental calculation technology used in clinical laboratories are divided two types: manual and automated. Manual reticulocyte counting using a microscopy lacks accuracy due particularly to its low reproducibility, affecting the accuracy of manual reticulocyte count. Moreover, Automatic blood corpuscle analyzer flow cytometry is difficult to be used in underdeveloped countries and small scale laboratories due to relatively high cost. Therefore, this study tried to find a new method to complement these drawbacks. The aim of this study was to compare the stained reticulocytes count by spectrophotometer and also to analyze the statistics of spectrophotometer and flow cytometer. The same 8 EDTA samples were repeated 36 times to compare the agreement between spectrophotometer and flow cytometer. This study measured the specimen diluted 600 times at 700∼780 nm by 10 differences. Wavelength between 710 to 730 by absorbance showed a positive correlation between standard data and test data (r=0.967, p<0.01), presenting a correlation between variables. Statistical analyses of regression for test and standard parametric data, the optimal dilution factor was 600 times. Therefore, this study tried to technical utilizes such as contributing economical for the reticulocyte absorbance apply from the auto spectrophotometer, a monitoring system for the reticulocyte relation anemia, etc. Therefore, more extensive studies, including an auto chemical analyzer application, will be needed.

체성분과 폐활량의 상관성

성현호(Hyun-Ho Sung),박창은(Chang-Eun Park) 한국엔터테인먼트산업학회 2013 한국엔터테인먼트산업학회논문지 Vol.7 No.4

체성분의 분석은 생체전기 측정법으로 골격근량, 근육량, 체지방량, 내장지방의 면적, 복부비만도 등이 측정된다. 폐활량은 연령 그리고 신장, 체중과의 상관관계와 회귀방정식을 통하여 비교 평가된다. 폐기능 검사에서 폐활량과 노력성 폐활량 혹은 강제 호기량(Forced Vital Capacity ; FVC), 일초간 노력성 호기량(Forced expiratory volume at one second ; FEV1)등의 검사를 시행한다. 이전의 논문에는 운동과 폐기능의 관련성은 잘 알려져 있으나, 근육량과 폐활량의 상관성에 대한 연구는 아직도 미흡한 실정이다. 이에 체성분 분석과 폐기능 검사(폐활량)의 연관성을 알아보고자 건강검진자들의 측정된 결과값들에 대한 통계분석을 수행하였다. 그 결과 체질량지수, 근육량, 골격근량과 복부지방률은 각각 폐활량검사인 폐활량, FVC (L), FEV1 (L) 각각의 결과와 양의 상관관계로 유의하게 나타났다. 특히 근육량, 골격근과의 상관관계가 높게 나타났다. 다중회귀분석 결과 근육량과 폐활량은 회귀모형에 적합하였다. 근육량과 폐활량은 47.7%, FVC (L)는 42.3%, FEV1 (L)는 37.1% 설명력을 보였으며 p<0.01 으로 통계적으로 유의했다. 따라서 폐활량의 관리는 건강한 삶에 밀접한 관련이 있으며, 이 연구 결과를 토대로 향후 폐활량에 관련된 많은 연구에 기초정보를 제공할 것이며 다접근적으로 요인분석이 필요할 것으로 사료된다. The body composition were measured by bioelectrical analysis of the skeletal muscle mass, muscle mass, fat mass, visceral fat area, abdominal obesity. Vital capacity through a regression equation of age, height, weight, and are compared with the correlation. Pulmonary function test were VC, FVC, FEV1. In the previous paper, exercise and pulmonary function are well-known association studies on correlation between muscle mass and lung capacity is still insufficient. For this reason, body composition analysis and pulmonary function tests (spirometry) to analyze the relationship of subjects measured by statistical analysis of the results was performed. As a result, BMI, muscle, skeletal muscle and abdominal fat amount and rate of each pulmonary function test test"s FVC (L), FEV1 (L) as a positive correlation was significant. In particular, muscle, skeletal muscle, and the correlation was high.Multiple regression analysis, the muscle mass and lung capacity were suitable for regression. Muscle mass and lung capacity was 47.7% of the explanatory power. Muscle mass and FVC (L) was the explanatory power of 42.3%. Muscle mass and FEV1 (L) 37.1% explanatory power of the results. All results and p <0.01 was statistically significant. Therefore, the management of lung capacity is closely related to a healthy life, and based on the results of this study, future studies related to lung capacity to provide information and is based on the factor analysis approach ever is needed.

신체활동량과 대사증후군의 상관성

성현호(Hyun-Ho Sung),박창은(Chang-Eun Park) 한국엔터테인먼트산업학회 2013 한국엔터테인먼트산업학회논문지 Vol.7 No.4

건강한 성인들 가운데 30-55세 직장인을 대상으로 운동행동단계 연구 대상자 460명과 신체활동량 연구 대상자 328명을 선정하여 운동습관과 신체활동량을 분석하고, 대사증후군 위험요인으로 혈압, 고밀도 지단백 콜레스테롤(HDL-C), 중성지방(TG), 공복 시 혈당(FBS), 허리둘레(WC)를 분석하고 대사증후군 유병률을 조사하여 신체활동량과 대사증후군 위험요인과의 차이와 대사증후군 유병률과의 차이를 검증하였다. 연구결과, 신체활동량과 대사증후군 위험요인과의 차이는 통계적 유의점이 없었으나 위험요인의 결과는 긍정적인 영향을 나타내었고 대사증후군 유병률과의 차이는 유의하게 나타나 신체활동량은 대사증후군에 영향을 미치는 것으로 나타났다. This study a group of healthy adults in age from 30 to 55 workers, the stage of exercise behavior change, 460 subjects and physical activity, 328 subjects were analyzed in exercise habits and physical activity and consequent metabolic syndrome risk factors, blood pressure, High-density lipoprotein cholesterol(HDL-C), triglyceride(TG), fasting Blood Sugar(FBS), waist circumference(WC) and by examining the prevalence of metabolic syndrome and metabolic syndrome risk factors and physical activity by examining the prevalence of metabolic syndrome and metabolic syndrome risk factors with individual differences in prevalence of metabolic syndrome was examined. As a result, physical activity and metabolic syndrome risk factors, there was no difference between the statistical significance. However the results of the risk factors showed a positive impact and the difference between the prevalence of metabolic syndrome appeared similarly. Therefore, it seems that physical activity affect the metabolic syndrome.

사무직 여성의 비만요인에 따른 NK세포 활성도 관계 연구

성현호 ( Hyun-ho Sung ),송창섭 ( Chang-sub Song ),최광모 ( Kwang-mo Choi ),박창은 ( Chang-eun Park ) 대한임상검사과학회 2016 대한임상검사과학회지(KJCLS) Vol.48 No.3

효과적인 비만의 중재는 대상 인구에서 가장 관련성이 있는 인구통계학적 건강 관련 및 직무 관련 요인을 고려해야 한다. 가장 강력한 비만 관련 요인은 직업군 또는 연령 범주에서 다룰 수 있다. 이연구의 목적은 심리적인 직무 스트레스와 면역관련 인자의 혈액분석의 상관성에 대한 최신지견을 제공하는 것이다. 우리는 여성 근로자의 비만 관련 매개 변수 뿐만 아니라 자연살해세포활성(NKCA)을 평가하였다. 비만과 관련된 혈당(p<0.05)은 연령에서 유의한 차이를 보였다. 또한, 비만군과 non-비만군에서는 NK 세포의 활성에 큰 차이를 보였다(p<0.05). 단계적 다중 회귀 분석에서 NKCA는 비만 관련 요인과 밀접한 상관성을 보였다. 향후에는 면역인자들의 활성도가 증가하는 생물학적 변화를 연구해야 할 것이다. An effective strategy for obesity intervention should include demographic, health-related, and work-related factors that are most relevant to the target population. Factors most strongly associated with obesity may differ for groups of individuals across industries or age categories. The purpose of this study was to provide current knowledge about the possible association between psychosocial job stress and immune parameters in blood. We assessed obesity-related parameters as well as the natural killer cell activity (NKCA) in female workers. There was a significant difference in the obesity-related blood parameters, i.e. fasting blood sugar level, according to age (p<0.05). Moreover, it showed a significant difference in NK cell activity between the obese and non-obese factor groups (p<0.05). Pearson correlation analysis demonstrated that NKCA was closely correlated with obesity related factors. In the future, it would have to study the biological changes which increase the activity of the immune factors to the immunological response.