Periyodik akciğer film taramaları standartlara uygun mu ?
Yükleniyor...
Dosyalar
Tarih
2011
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Düzce Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Giriş: İşçi sağlığında çok önemli yeri bulunan periyodik akciğer film taramalarının teknik ve kalite standartlarına uygun olup olmadığını belirlemektir.Yöntem: Standart Profil fabrikasında çalışan 400 işçinin daha önce (2009 yılında) çekilmiş akciğer grafilerinin teknik ve kalite standartlarına uygunluğunu 3 yorumcu ile değerlendirildi.Bulgular: Pulmonolog (%52) filimlerin dozunu diğer iki okuyucudan (radyolog; %44.3, asistan; %30.4) daha sık olarak normal bulmuştu.. Pulmonologun (%81.7) filimleri inspiryumda çekilmiş olarak yorumlama sıklığı diğer iki okuyucudan daha azdı. Pulmonologun (%53.5) filimleri simetrik bulma oranı diğer 2 okuyucudan daha yüksekti Skapulaların ekarte edildiğini en sık bildiren gözlemci asistandı (asistan; %55.9). Apekslerin izlenebildiğini en az sıklıkta belirten gözlemci asistandı (asistan; %92.3,). Asistan gözlemci akciğerlerin kasete sığdığını en az sıklıkta belirtmişti. Filimlerin yumuşak çekilmiş olmasıyla ilgili Gözlemci 1 ile 2'nin (radyolog ve pulmonolog) yorumları arasında mükemmel uyum vardı. Filmin sert teknikle çekilmiş olmasında ise Gözlemci 2 ile 3 (pulmonolog-asistan) arasında mükemmel uyum vardı.. Asistan gözlemci en sık nodül (%10.9) ve infiltrat (%3.2) saptarken, pulmonolog amfizem (%7.2) ve bronşektazi (%1.7) gözlemişti. En sık plevral bozukluk saptayan gözlemci pulmonolog idi. Santral yapılarda en sık bozukluk saptayan gözlemci pulmonolog idi.Sonuç: Akciğer filimlerin kalitesinin artırılması için filimlerin teknik standardizasyonu ve çekim prosedürünün düzeltilmesi gereklidir. Filimleri okuyan herkesin denetlenmesi ve teknisyenlerin sürekli eğitimi gereklidir.
Introduction: To determine whether periodic lung film scanning that has very important place in Workers' health is appropriate to the technical and quality standards.Methods: The lung graphies taken in 2009 of 400 workers,working at Standart Profil, are evaluated for compliance with the technical and quality standards by three commentatorsFindings: Pulmonologist (% 52) evaluated the dose of films as normal more frequently than the other two films reader (radiologist, 44.3%, an assistant;% 30.4). The frequency of pulmonologist?s (81.7%) interpreting the films at drawn inspiration as a reader was less than the other two readers. The ratio of pulmonologist?s (%53.5) finding the film symmetric was higher than the other two readers?. Radiologists (38.1%) was the observer assistant most frequently reporting scapulas? elimination (assistant, 55.9%). The assistant was the least frequently stated the monitoring of apexes (assistant, 92.3%). Assistant observer stated that the lungs are fit to the tape least frequently.There was a perfect harmony between the comments of Observers 1 and 2 (radiologist and pulmonologist) related to films scanned with soft technique. There was a perfect harmony between the observers 2 and 3 (pulmonologist-assistant) at the films scanned with hard technique. While assistant observer most frequently determined nodules (10.9%) and infiltrates (% 3.2), pulmonologist observed emphysema (7.2%) and bronchiectasis (1.7%). observer detecting the pleural disorder most frequently was the pulmonogist. Observer detecting the most common disorder of central structures was pulmonologist.Conclusion: To improve the quality of lung films, it is necessary to correct technical standardization and scanning procedure. It is necessary controlling all the people reading films and training the technicians continuously.
Introduction: To determine whether periodic lung film scanning that has very important place in Workers' health is appropriate to the technical and quality standards.Methods: The lung graphies taken in 2009 of 400 workers,working at Standart Profil, are evaluated for compliance with the technical and quality standards by three commentatorsFindings: Pulmonologist (% 52) evaluated the dose of films as normal more frequently than the other two films reader (radiologist, 44.3%, an assistant;% 30.4). The frequency of pulmonologist?s (81.7%) interpreting the films at drawn inspiration as a reader was less than the other two readers. The ratio of pulmonologist?s (%53.5) finding the film symmetric was higher than the other two readers?. Radiologists (38.1%) was the observer assistant most frequently reporting scapulas? elimination (assistant, 55.9%). The assistant was the least frequently stated the monitoring of apexes (assistant, 92.3%). Assistant observer stated that the lungs are fit to the tape least frequently.There was a perfect harmony between the comments of Observers 1 and 2 (radiologist and pulmonologist) related to films scanned with soft technique. There was a perfect harmony between the observers 2 and 3 (pulmonologist-assistant) at the films scanned with hard technique. While assistant observer most frequently determined nodules (10.9%) and infiltrates (% 3.2), pulmonologist observed emphysema (7.2%) and bronchiectasis (1.7%). observer detecting the pleural disorder most frequently was the pulmonogist. Observer detecting the most common disorder of central structures was pulmonologist.Conclusion: To improve the quality of lung films, it is necessary to correct technical standardization and scanning procedure. It is necessary controlling all the people reading films and training the technicians continuously.
Açıklama
YÖK Tez No: 293432
Anahtar Kelimeler
Göğüs Hastalıkları, Chest Diseases, Akciğer, Lung, Akciğer hastalıkları, Lung diseases, Meslek sağlığı, Occupational health, Radyografi, Radiography, Standartlar, Standards, Film kalitesi, okuyucular arası farklılık, peryodik tarama, işçi sağlığı, Film quality, the difference between the readers, periodic scanning, worker health
