Effectiveness of a case-based digital learning interprofessional workshop involving undergraduates in medical technology, radiological science, and physical therapy: A pre-post intervention study.

All healthcare professionals must understand information on a patient's biophysical functions, and it is important to educate professionals on how to use this information in an interprofessional team for diagnosis. However, there is little interprofessional education for students of medical technology and radiological science involved in biophysical function diagnosis. In the present study, we developed a case-based interprofessional learning tool for using biophysical information for diagnosis. The study examined the effects of a collaborative exercise workshop for healthcare professional students using the tool. Participants were 234 students from three healthcare professions (medical technology, radiological science, and physical therapy). They completed the Japanese version of the Readiness for Interprofessional Learning Scale before and after the workshops. The workshops incorporated digital materials that allowed students to examine the test results of a virtual patient, answer questions, and discuss their diagnoses and prognoses. For analysis, a two-way analysis of variance was performed on the total score on the Readiness for Interprofessional Learning Scale of the three departments, and the effectiveness of the workshop for the three departments was compared. Statistical analyses showed no interaction between time and department (p = 0.283). After the workshop, students from all three departments showed significant improvements in total scores on the Readiness for Interprofessional Learning Scale (p < 0.01) with medium to large effect sizes (r = 0.33-0.52). In the comparison between departments, there was a significant difference in the awareness levels of only medical technology and radiological science students before the workshop (p = 0.015). This study conducted case-based learning workshops with students from three departments, in which a patient's biophysical information was conveyed between occupational practices. The workshops improved the awareness of interprofessional education in students from all departments and revealed that interprofessional education is important for healthcare professions involved in biophysical function diagnosis.

Derivation of total filtration thickness for diagnostic x-ray source assembly.

The method defined by the IEC 60522 for determining the inherent filtration of an x-ray source device is applicable only for a limited range of tube voltage. Because the users cannot legally remove the x-ray movable diaphragm of the x-ray source device, total filtration, which is the sum of the additional filtration diaphragm movable for specific filtration and x-ray, cannot be measured. We develop a method for simply obtaining the total filtration for different tube voltage values. Total filtration can be estimated from a ratio R' of the air kerma [Formula: see text], which is measured with an Al plate with thickness T, and [Formula: see text] measured without an Al plate. The conditions of the target material of the x-ray source device are then entered into the Report 78 Spectrum Processor to calculate the air kerma K x and K x+T for Al thicknesses x and (x + T), respectively, to obtain R. The minimum value of x, which is the difference between the R and R', is the total filtration of the x-ray source device. The total filtration calculated using the industrial x-ray source device was within ±1% in the 40-120 kV range. This method can calculate the total filtration using air kerma measurements with and without the Al plate. Therefore, the load on the x-ray tube can be reduced, and preparation of multiple Al plates is not necessary. Furthermore, for the 40-120 kV tube voltage range, the user can easily measure the total filtration.

Calibration coefficients of dosimeters used in mammography for various target/filter combinations.

A wide variety of existing combinations of target and filter materials (target/filter combinations) are used in mammography equipment. The patient dose depends on the X-ray quality that is derived from the target/filter combination, and a calibration of the dosimeter that is used in the measurement that corresponds to the specific target/filter combination is necessary. However, dosimeters in mammography are generally calibrated with reference to the X-ray quality of Mo/Mo or W/Al combinations, and it is unclear whether or not the X-ray quality that is derived from other target/filter combinations will affect the calibration coefficients. In this paper, the calibration coefficients of different dosimeters were evaluated for target/filter combinations. For an ionization chamber-type dosimeter, good energy dependence was found and the effect of the target/filter combination was small. However, for a semiconductor dosimeter, a large energy dependence was found, and different calibration coefficients that depended on the target/filter combination used were required.

[Setting of the soft X-ray field for the calibration of the dosimeters used in mammographic field].

In order to produce a cheap and stable X-ray generator system for calibration of dosimeters used in mammographic field, a dummy source of mammographic X-ray was developed using a tungsten (W) target X-ray tube and a molybdenum (Mo) filter. The photon fluence spectra of mammographic equipment were calculated using Birch's formula and aluminum (Al) attenuation curves were derived. The Al attenuation curves of X-rays from W target with Mo filter of various thicknesses were similarly obtained. Comparing the similarities of attenuation curves, the best fit Mo filter thickness was chosen. Consequently, a 0.04 mm thick Mo plus a 4 mm thick poly-methylmethacrylate filter were chosen to be added to W target industrial X-ray tube. The similarity of Al attenuation curves were verified by ionization chamber measurements.