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      • 혈청 LDH 효소분석 검사의 효준화에 관한 연구(Ⅴ)

        이창규,이승관,조경진,박종성,정수경,유병서,박상숙,류정록,남현철,김석수,김상섭,김재영,이국성 高麗大學校 倂設 保健大學 保健科學硏究所 1998 保健科學論集 Vol.24 No.1

        Since the Korean Association of Quality Assurance for Clinical Laboratory was established in 1976, the numbers of the participating hospitals nowadays were increased from 40 to 450 or more hospitals all over the country. In the early day the both internal and external quality control programs were started at the same time, however, the external QC programs prevailed over the internal ones putting the cart before the horse. The accuracy and the precision of the data are not satisfying in spite of the 20 years experiences of quality control programs. All the daily data should be reported after the validity is assured by the self-evaluation not by third party evaluation. It is regret that the CVs of enzymatic tests in external QC are exceeding 10% and there is no sign of diminishing CVs. One of the major reasons is that the types of anaytical instrurments and reagents are diverisified. Moreover, most of them are subject to the standards of the respective country of manufacturer. Accordingly, we can make a suggestion that the reagents and instruments should be imported or supplied meeting the established requirements for Korean standardization.

      • 효소법에 의한 혈청Ca측정의 실험적연구

        이창규,이승관,정록,김상섭,유병서,정운원,최명재,장철수,서장훈 高麗大學校 倂設 保健大學 保健科學硏究所 1996 保健科學論集 Vol.22 No.1

        Major conventional method for assaying Ca are AAS and colorimetry of Ca complexes with ocpc. The former method is reliable and specific for Ca, but requires special and expensive equipment and is unsuitable for routine assay in clinical chemistry. The latter method, with ocpc, is widely available and has been improved by reaserchers so as to be more specific for Ca by the addition of 8-hydroxyquinoline to mask any Mg present. This modified method has been made more rapid and precise by adaptation to the Autoanalyzer and other random access analyzers. Tabata reported an enzymatic assay for calcium ion based on the activation of phospholipase D. Here we report a sensitive and specific enzymatic assay for total Ca in serum, based on the activation of porcine pancreatic α-amylase proposed by Kayamori. The results of correlation, and precision studies indicate an acceptable performance over a clinically relevant range but requires a new reference range for enzymatic method.

      • 고등교육 개혁에 따른 보건계열 전문대학 신대학 학위제도연계에 관한 연구

        김영환,이창규,오세윤,이승관,정수경,박종성,유병서,조경진 高麗大學校 倂設 保健大學 保健科學硏究所 1998 保建科學硏究論集 Vol.7 No.2

        It is encouraging that the government has enacted some laws for the continuing educations of junior college graduate personnel, from which the graduates can get earn their bachelors degrees. However, not all the fields are covered by the newly enacted laws. Therefore, the excluded fields during the preparation of the higher education law should be complemented through further investigations enstudies. Under the present diversified and complicated structures of job classifications, it would cost too much for the government to manage the various types of technical expertises. For the effective management, a great deal of authorities or power of the government should be decentralized from the governmental bodies and moved to the non-governmental organizations such as scholastic societies or academies. In order to meet the needs of the information-oriented society, and to survive in ever changing high technologies, all the technical exports are urged to be equipped with updated information and sufficient knowledge on their major fields. For the solution of urgent problems the graduates of junior health alleges implicated with their works, and for the reformation of higher education system for the allied health professions, the following suggestions can be provided. 1. For the allied health professions, the enactment of the newly developed laws and regulations is urgently needed. 2. Like other industrial fields, the laws and regulations for the national qualification systems for the allied health professions should be revised for stratified ranking system such as MLA, MLT, MT in developed countries. 3. Some health professions should be developed as new kinds of jobs according to the diversified settings in health professions. 4. The present nationally-governed examination system for the allied health professions should be changed from a norm-referenced evaluation to a criterion-referenced evaluation. 5. In the performance appraisal of the employees, individual job performing proficiency should be highly rated prior to seniorities. 6. The priority of financial supports should be given to the higher educational organizations where the continuing education system is enforced. 7. Autonomy for the reorganization and restructuring should be given to each educational organization so that they can easily attain the goals of their own. 8. The continuing education for allied health professionals should be intensified even after the acquisition of license or certification. 9. The highly evaluated organizations should be awarded to promote themselves as specialized institutions. 10. The higher education policies should be established in consideration of the local autonomy situation.

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