• Title/Summary/Keyword: PSA Quality

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Directions for Muti-institutional Cooperation in Follow-up Management of Prostatic Disease Screening for the Low-income Group in Gangwon-do (강원도 저소득층의 전립선질환 검진사업과 사후관리를 위한 유관기관 협력방안)

  • Jang, Sungok;Lee, Jongseok
    • Korean Journal of Health Education and Promotion
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    • v.30 no.4
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    • pp.99-110
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    • 2013
  • Objectives: This study aimed to investigate factors related to prostate disease and follow-up procedure on health examination program in Gangwon-do. Methods: The studied population was 16,501 male aged 40 or more, who underwent screening tests for prostatic disease in 2011 health examination program designed for the low income residents in Gangwon-do. The screening tests included prostate specific antigen (PSA), international symptom score (IPSS), and maximal flow rate (Qmax). We conducted chi-square test for trend, two independent samples t-test, and binary logistic regression to find out the relationship between prostate cancer or benign prostatic hyperplasia and risk factors such as age, PSA level, and IPSS. Results: The number of subjects who turned out positive for PSA level (> 3.8ng/ml) was 971 men accounting for 5.9%. The result of post survey on them showed that 511 subjects (52.6%) got the urology check-up: 156 (30.5%) were diagnosed as normal, 286 (56.0%) as benign prostatic hyperplasia, and 69 (13.5%) as prostate cancer. The detection rate for prostate cancer was 8.8% when PSA level was between 3.81 and 9.99g/ml, and was 30.6% when PSA level was more than 10.00ng/ml. The rates of further testing varied depending on the communities from 26.7% to 68.2%, which was mainly affected by the role of local health center. Conclusions: Our findings indicate that enhanced quality control of local health center and empowerment of screening agency would increase the effort of coupled institutions between public and private sectors.

Impact of PSA and DRE on Histologic Findings at Prostate Biopsy in Turkish Men Over 75 Years of Age

  • Verim, Levent;Yildirim, Asif;Basok, Erem Kaan;Peltekoglu, Erol;Pelit, Eyup Sabri;Zemheri, Ebru;Tokuc, Resit
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.10
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    • pp.6085-6088
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    • 2013
  • Prostate specidic antigen (PSA) and digital rectal examination (DRE) are the known predictive factors for positive prostate biopsies differing according to the age, region and race. There have been only very limited studies about the impact of PSA on histological findings at prostate biopsy in Turkey. The aim of this study was to evaluate the impact of PSA and clinical stage on histologic findings of prostate biopsy in men older than 75 years of age as a first study in the Turkish population. A total of 1,645 consecutive prostate biopsies were included, with 194 men aged 75 or older. Cancer was identified in 104 patients (53.6%). Of the 104 positive biopsies, Gleason scores were less than 7 in 53 (49%) patients, 7 or greater in 51 (51%) patients. Positive prostate biopsies were significantly correlated with advanced age (p=0.0001), abnormal DRE (p=0.0001) and raised PSA (p=0.0001). The prostate volume was significantly correlated with advanced age especially in prostate cancer patients over 75 years, compared with those under 75 (p=0.0001). These results are useful for counseling men older than 75 years for prostate cancer detection. However, PCa screening decisions are currently based on urologist judgment and detection of latent asymptomatic disease is an important concern regarding costs, overdiagnosis, overtreatment and quality of life (QOL) for men aged 75 years and older. Healthy old patients with a long life expectancy need to be carefully evaluated for eligibility for PCa screening.

Improvement of the Result Related to Tumor Marker Test Through the OCS QC Program (OCS QC 프로그램을 통한 건진 센터 종양검사의 결과보고 개선)

  • Back, Song-Ran;Kim, Sung-Ho;Yoo, So-Yeon;Kim, Nyun-Ok;Moon, Hyoung-Ho;Yoo, Seon-Hee;Cho, Shee-Man
    • The Korean Journal of Nuclear Medicine Technology
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    • v.13 no.3
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    • pp.185-188
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    • 2009
  • Purpose: Standard of retests were discrepant and inconsistent due to inaccuracy and lack of standardization within normal range limit of tumor marker test. To enhance the standardization of retests set standard value below normal range and the Order Communication System Quality Control (OCS QC) program was put in place. This program enables managing the results within lower limit of normal range which were used for tumor marker test in Health Center. Materials and Methods: At present the tumor marker study for AFP, CEA, CA19-9, CA125, and PSA included outpatients in Asan Medical Center from February to March, 2009. The standard value was obtained by using the percentage of CV of Inter Assay according to the normal range of each tumor test. The results were confirmed by using the OCS QC program via formatted assessment of screening test such as test items, standard value and medical department. The number of out-of-range results within plus and minus 30 percents regarding the five primary items of tumor marker test was assessed. The next step was to obtain the number of AFP, CEA, and CA125 according to the ratio of comparison between prior and post test result, 60%, 50%, and 40% within normal range, respectively. In addition, set standard value below normal range. Results: The first screening test with percentage of sample number was resulted between 30%-40% and the second one was AFP 26.1%, CEA 18.9%, CA19-9 17.3%, CA125 18.7%, and PSA 21.0% obtained screening percentage of average 20 percents. The limited value of retest was AFP less than 5.0 and more than 10.0, CEA less than 1.0 and more than 3.0, CA19-9 less than 10.0 and more than 30.0, and PSA less than 1.0 and more than 2.0 to set and the number of retest was obtained by applying to the limited value of retest to screening percentage of average 20 percents For two months, the number of retest was AFP 0, CEA 15, CA19-9 3, CA125 2, and PSA 5. Conclusions: Through using the OCS QC program in establishing the standard of retest systemically, there appeared to be reduced discrepancy among the examiners and to be expected improvement in relation to the error of results.

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Analysis of the Surface Characterisitics of Microstickies by Contact Angle Measurement (접촉각 측정을 통한 스틱키의 표면화학적 특성 분석)

  • Park, Il;Lee. Hak-Lae
    • Journal of Korea Technical Association of The Pulp and Paper Industry
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    • v.37 no.2 s.110
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    • pp.21-29
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    • 2005
  • Increase in the utilization rate of recycled paper has significantly increased the problem associated with stickies. Despite the effort to eliminate contaminants from recycled furnishes, stickies are still the most serious obstacle in using recycled paper. The amount of micro stickies that are too small to be eliminated by screening, tends to increase significantly as the closure level of white water system is increased and the quality of raw material deteriorates. To establish a process efficient in removing micro stickies is strongly required. In this study, the surface characteristic of micro stickies was investigated with contact angle measurement. Surface energies of MCC, PSA film and model micro stickies were 53.37 mN/m, 29.75mN/m, and 29.63mN/m, respectively. This indicates that the surface characteristic of MMS is very similar to PSA. Thus, solvent coating of PSA and evaporation of the solvent provided excellent model micro stickies for flotation experiment.

The Development of a Human Reliability Analysis System for Safety Assessment of a Nuclear Power Plants (원자력 발전소 안전성 평가를 위한 인간 신뢰도 분석 방법론 개발 및 지원 시스템 구축)

  • Kim, Seung-Hwn;Jung, Won-Dea
    • Journal of the Korea Society of Computer and Information
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    • v.11 no.6 s.44
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    • pp.261-267
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    • 2006
  • In order to perform a probabilistic safety assessment (PSA), it requires a large number of data for various fields. And the quality of a PSA results have become more important thing of the risk assessment. As part of enhancing the PSA qualify, Korea Atomic Energy Research Institute is developing a full power Human Reliability Analysis (HRA) calculator to manage human failure events (HFEs) and to calculate the diagnosis human error probabilities and execution human error probabilities. This paper introduces the development process and an overview of a standard HRA method for nuclear power plants. The study was carried out in three stages; 1) development of the procedures and rules for a standard HRA method. 2) design of a system structure, 3) development of the HRA calculator.

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Comparative Study of Optimization Algorithms for Designing Optimal Aperiodic Optical Phased Arrays for Minimal Side-lobe Levels (비주기적 광위상배열에서 Side-lobe Level이 최소화된 구조 설계를 위한 최적화 알고리즘의 비교 연구)

  • Lee, Bohae;Ryu, Han-Youl
    • Korean Journal of Optics and Photonics
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    • v.33 no.1
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    • pp.11-21
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    • 2022
  • We have investigated the optimal design of an aperiodic optical phased array (OPA) for use in light detection and ranging applications. Three optimization algorithms - particle-swarm optimization (PSO), a genetic algorithm (GA), and a pattern-search algorithm (PSA) - were employed to obtain the optimal arrangement of optical antennas comprising an OPA. The optimization was performed to obtain the minimal side-lobe level (SLL) of an aperiodic OPA at each steering angle, using the three optimization algorithms. It was found that PSO and GA exhibited similar results for the SLL of the optimized OPA, while the SLL obtained by PSA showed somewhat different features from those obtained by PSO and GA. For an OPA optimized at a steering angle <45°, the SLL value averaged over all steering angles increased as the angle of optimization decreased. However, when the angle of optimization was larger than 45°, low average SLL values of <13 dB were obtained for all three optimization algorithms. This implies that an OPA with high signal quality can be obtained when the arrangement of the optical antennas is optimized at a large steering angle.

The Quality Properties of Mortar for Using Tailings from the Sangdong Tungsten One as Admixture for Concrete (상동광산 광미를 콘크리트용 혼화재료로 사용하기 위한 모르타르의 품질특성)

  • Choi Yun-Wang;Jung Moon-Young;Jung Myung-Chae;Koo Gi-Jung
    • Journal of the Korea Concrete Institute
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    • v.16 no.3 s.81
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    • pp.383-390
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    • 2004
  • This study has focused on the possibility for recycling tailings from the Sangdong tungsten mine as admixture for concrete. The XRD(X-ray diffraction analysis) and PSA(Particle size analysis) were performed to find mineralogical characteristics. As a result of XRD analysis, the tailings from the Sangdong tungsten fine were composed of quartz, chlorite, anorthite and cordierite etc. As a result of KSLT for cement mortar mixed with tailings from the Sangdong tungsten mine, most of heavy metals were determined as below the guide line for waste material. In addition, the setting time and compressive strength of cement mortar mixed with tailings from the Sangdong tungsten mine were investigated. It was indicated that the initial and final set were retarded according to increasing replacement of tailings from the Sangdong tungsten mine. The compressive strength of mortar was decreased with increasing replacement of failings from the Sangdong tungsten mine.

The Evaluation of Proficiency Test between Radioimmunoassay and Chemiluminescence Immunoassay (방사면역측정법과 화학발광면역측정법간의 숙련도 비교평가)

  • Noh, Gyeong-Woon;Kim, Tae-Hoon;Kim, Ji-Young;Kim, Hyun-Joo;Lee, Ho-Young;Choi, Joon-Young;Lee, Byoeng-Il;Choe, Jae-Gol;Lee, Dong-Soo
    • The Korean Journal of Nuclear Medicine Technology
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    • v.15 no.2
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    • pp.116-124
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    • 2011
  • Purpose: To establish accurate external quality assurance (EQA) test, cross institutional and modality tests were performed using WHO certificated reference material (CRM) and same pooled patients serum. Materials and Methods: Accuracy and precision were evaluated using CRM and pooled patients' serum for AFP, CEA, PSA, CA 125, CA 19-9, T3, T4, Tg, TSH. To evaluate the accuracy and precision, recover test and coefficient variation were measured. RIA test were performed in major 5 RIA laboratory and EIA (CLIA) test were done in 5 major EIA laboratory. same sample of CRM and pooled serum were delivered to each laboratory. Results: In 2009, mean precision of total tumor marker of RIA was $14.8{\pm}4.2%$ and that of EIA(CLIA) was $19.2{\pm}6.9%$. In 2010, mean precision of 5 tumor marker and T3, T4, Tg, TSH was $13.8{\pm}6.1%$ in RIA and $15.5{\pm}7.7%$ in EIA (CLIA). There was no significant difference between RIA and EIA. In RIA, the coefficient variations (CV) of AFP, CEA, PSA, CA 125, T3, T4, TSH were within 20%. The CV of CA 19-9 was over 20% but there was no significant difference with EIA (CLIA) (p=0.345). In recovery test using CRM, AFP, PSA, T4, TSH showed 92~103% of recovery in RIA. In recovery test using commercial material, CEA, CA 125, CA 19-9 showed relatively lower recovery than CRM but there was no significant difference between RIA and EIA (CLIA). Conclusion: By evaluating the precision and accuracy of each test, EQA test could more accurately measured the quality of each test and performance of laboratory.

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