• Title/Summary/Keyword: Screening Items

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Current Status of Health Screening in Korea (한국의 건강검진 현황)

  • Jo, Han-Ik
    • Journal of Korea Association of Health Promotion
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    • v.2 no.3
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    • pp.73-96
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    • 2004
  • Along with a development of medical technology, a variety of tests, such as laboratory tests, x-ray and endoscopies are being used in health screening tests. As the tests determine the quality of health screening, test items and methods should be carefully selected. This study was to get hold of the test items of major health screening programs in Korea Most of the health screening programmes focused upon detection of risk factors and diagnosis of life - style related diseases (diabetes, hypertension, cardiovascular diseases, hypercholesterolemia, overweight, drinking, smoking, cerebrovascular diseases, osteoporosis) ,cancers (stomach, cervix, lung, breast, liver, colon, prostate, ovary, pancreas, thyroid, esophagus) , infectious diseases (hepatitis, tuberculosis, sexually-transmitted diseases, parasites) , chronic obstructive respiratory diseases, chronic renal diseases (bacteriuria hematuria, proteinuria) , anemia, glaucoma, hearing loss, Alzheimer disease, stress, early psychiatric diseases. The health screening tests were basic physical examination, basic laboratory tests (CBC, urinalysis, liver function tests, lipid tests, glucose, HbAlc, uric acid, electrolytes, serological tests (HBsAg, HBs-Ab, HCV-Ab, HIV-Ab, VDRL) EKG, x-ray (chest PA, CT) , endoscopy (gastroscopy, colonoscopy) , sonography(abdomen, thyroid, pelvis, breast) ,cytology (cervix) , bone density, tumor markets (NMP22, alpha-FP, CEA, CA-19-9, CA12S, PSA) and eye tests. Advanced technologies, like CT, PET, MRI, MRT/Angio, molecular testings) were widely used in hospital health screening programmes .In summary, a variety of tests were utilized in health screening in Korea. Those tests were utilized by stages or according to sex and age in most of health screening programmes, however a few program used tests to excess disregarding health screening subjects.

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Results of Neonatal Screening Test and Prevalence at Birth of Phenylketonuria and Congenital Hypothyroidism for 15 Years in Korea (한국에서의 15년간 신생아 선별검사 실적 및 환아 발생률)

  • Choi, Tae Youn;Lee, Dong Hwan
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.6 no.1
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    • pp.24-31
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    • 2006
  • Purpose : The Ministry of Health and Social Affairs adopted newborn screening for the low-income families in 1991 and expanded in 1997 to cover all newborns. At the beginning of the program 6 diseases were selected for screening but the number of screening items had been reduced to two (congenital hypothyroidism and phenylketonuria) from the year 1995. Now, the government program has a fifteen year history. The purpose of this study was to analyze results of neonatal screening tests and prevalence at birth of phenylketonuria and congenital hypothyroidism in Korea. Methods : The results of neonatal screening tests were collected from public health centers during 15 years from 1991 to 2005. These data were analyzed for number of tested newborns and prevalence at birth of the inborn errors of metabolism. Results : Neonatal screening test for inborn error of metabolism was performed for 3,707,773 newborns for 15 years. Among newborns who were screened 718 congenital hypothyroidisms and 86 phenylketonurias were detected, and these presented an prevalence at bith of congenital hypothyroidism 1/5,164 and that of phenylketonuria 1/43,114. The total prevalence of two diseases was 1/4,612. Conclusion : National screening program should be expanded to include all items of screening tests for whole newborns and established correct prevalence of other inherited metabolic diseases in Korea.

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Current Status of Health Screening in Korea (한국의 건강검진 현황)

  • Jo, Han-Ik
    • Journal of Korea Association of Health Promotion
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    • v.2 no.2
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    • pp.215-230
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    • 2004
  • Along with a development of medical technology, a variety of tests, such as laboratory tests, x-ray and endoscopies are being used in health screening tests. As the tests determine the quality of health screening, test items and methods should be carefully selected. This study was to get hold of the test items of major health screening programs in Korea. Most of the health screening programmes focused upon detection of risk factors and diagnosis of life-style related diseases(diabetes, hypertension, cardiovascular diseases, hypercholesterolemia, overweight, drinking, smoking, cerebrovascular diseases, osteoporosis) ,cancers(stomach, cervix, lung, breast, liver, colon, prostate, ovary, pancreas, thyroid, esophagus), infectious diseases (hepatitis, tuberculosis, sexually-transmitted diseases, parasites),chronic obstructive respiratory diseases, chronic renal diseases(bacteriuria, hematuria, proteinuria), anemia, glaucoma, hearing loss, Alzheimer disease, stress, early Psychiatric diseases. The health screening tests were basic physical examination, basic laboratory tests(CBC, urinalysis, liver function tests, lipid tests, glucose, HbAlc, uric acid, electrolytes, serological tests(HBsAg, HBs-Ab, HCV-Ab, HIV-Ab, VDRL) EKG, x-ray(chest PA, CT), endoscopy (gastroscopy, colonoscopy) , sonography(abdormen, thyroid, pelvis, breast) , cytology(cervix) ,bone density, tumor markers(NMP22, alpha-FP, CEA, CA-19-9, CA12S, PSA) and eye tests. Advanced technologies, like CT, PET, MIRI, MIRI/Angio, molecular testings) were widely usedin hospital health screening programmes. In summary, a variety of were utilized by stages or programmes, however a few subjects. tests were utilized in health screening in Korea. Those tests according to sex and age in most of health screening program used tests to excess disregarding health screening subject.

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Development of Parent Guidelines for Parent-Performed Developmental Screening Tests

  • Sung Sil Rah;Soon-Beom Hong;Ju Young Yoon
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.34 no.2
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    • pp.141-149
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    • 2023
  • Objectives: Most developmental screening tests have been built as parent-performed questionnaires. However, they often do not guide parents on how to answer the questionnaire. This study aimed to develop easily applicable parent guidelines. Methods: We implemented the Delphi procedure with 20 panelists. The development of the initial questionnaire was based on the results of two surveys of parents and experts provided by a policy research report that investigated the item adequacy of the Korean Developmental Screening Test. Round one included 33 items comprising all possible measurements in six categories that were identified as difficult to understand or confusing. Round two merged and modified some items and included 32 items. We defined consensus as a median agreement value of one or less and convergence and stability values of 0.5 or less. The subjective usefulness of the parent guidelines was examined based on their previous test experiences. Results: Consensus was reached after the second round, reflecting the items with the highest level of accuracy in each category. Of the 167 parents who participated in the survey, 113 (67.7%) affirmed the usefulness of the guidelines, while 10 (6.0%) answered that they were not useful. Items that recommended a different scoring strategy in answering the questionnaire from their previous measurements were found to be more useful by the parents. Conclusion: The parent guidelines, composed of five bullet points, drew on the consensus of the experts. Further studies are required to assess whether these guidelines improve the accuracy of screening tests in clinical settings.

Design of Rectifying Screening Inspections under a Bivariate Normal Distribution (이변량 정규분포 하에서 선별형 스크리닝 검사의 설계)

  • Hong, Sung-Hoon;Choi, Ik-Jun;Lee, Yoon-Dong;Lee, Min-Koo;Kwon, Hyuck-Moo
    • Journal of Korean Society for Quality Management
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    • v.35 no.4
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    • pp.147-158
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    • 2007
  • Owing to the rapid growth in automated manufacturing systems, screening inspection becomes an attractive practice for removing nonconforming items, and it has been suggested that inspection will essentially become an inherent part of modem manufacturing processes. In this paper, we propose rectifying screening inspections which allow quality practitioners to use performance and surrogate variables interchangeably in real-time applications. Two screening inspections are considered; a statistically-based screening inspection to reduce the current proportion of nonconforming items to a specified AOQ(average outgoing quality) after screening, and an economically-based screening inspection where the tolerance limit is determined so that the expected total cost is minimized. It is assumed that the performance variable and the surrogate variable are jointly normally distributed. For two screening inspections, methods of finding the optimal solutions are presented and numerical examples are also given.

Development of the Screening Tool for Risk of Preterm Birth in Pregnant Women (임신부의 조산위험 선별도구 개발)

  • Cho, Mi-Ock;Kim, Jeung-Im
    • Journal of Digital Convergence
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    • v.18 no.6
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    • pp.335-344
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    • 2020
  • This study was to develop a screening tool to identify the pregnant women who are required to have a concrete checkup or education about preterm birth. The items for the screening tool were drafted from literature review and the result of interviews with women who are hospitalized after preterm delivery based on the biopsychosocial framework. The validity and reliability of the items was performed after the content validity and the pilot survey. The screening tool for the risk of preterm birth in pregnant women was consisted of two parts. One was consisted of 9-items for the biomedical risks and another one was consisted of 17-items for the psycho-physical risks. The screening tool for the risk of preterm birth in pregnant women reveals valid and reliable. It could be applied to identify the pregnant women who have some risks of preterm birth.

Determination of Optimal Mean Value and Screening Limit for a Production Process with Logistic Function (로지스틱 함수를 갖는 생산공정에 대한 최적공정평균 및 스크리닝 한계선의 결정)

  • Hong, Sung Hoon
    • Journal of Korean Institute of Industrial Engineers
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    • v.29 no.3
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    • pp.239-246
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    • 2003
  • Individual items are produced continuously from an industrial process. Each item is checked to determine whether it satisfies a lower screening limit for the quality characteristic which is the weight of an expensive ingredient. If it does, it is sold at a regular price; if it does not, it is reprocessed or sold at a reduced price. The process mean may be adjusted to a higher value in order to reduce the proportion of the nonconforming items. Using a higher process mean, however, may result in a higher production cost. In this paper, the optimal process mean and lower screening limit are determined in situations where the probability that an item functions well is given by a logistic function of the quality characteristic. Profit models are constructed which involve four price/cost components; selling prices, cost from an accepted nonconforming item, and reprocessing and inspection costs. Methods of finding the optimal process mean and lower screening limit are presented and numerical examples are given.

Denver II Developmental Screening Test: A Cross Cultural Comparison (Denver II 발달검사를 이용한 한국과 미국의 아동 발달 비교 연구)

  • Shin, Hee-Sun;Han, Kyung-Ja;Oh, Ka-Sil;Oh, Jin-Joo;Ha, Mi-Na
    • Research in Community and Public Health Nursing
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    • v.13 no.1
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    • pp.89-97
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    • 2002
  • Purpose: The purpose of this study is to explore the validity of the application of the Denver II developmental screening test to Korean children. This screening test. which was developed and standardized in United States. was designed to screen for developmental delay in Korea. and to compare the levels of development of Korean children with the development of children from the U.S. Method: Quota sampling. NP To facilitate field sampling. the age range used from 0 to 6 years old. was split into 10 different age groups. Sample size was estimated according to residence. 1.054 children were recruited from Seoul's metropolitan. urban and rural areas. NP To fill the quota established. the Recruitment and testing of children was done at public health centers, pediatric outpatient clinics of general hospitals and a child care center. The 25, 50, 75 and 90 percentiles were identified by using logistic regression analysis and were calculated as norms. The items in which the ages of both 50 and 90 percent passing differed more than 20 percent by the calculation was identified for comparison. NP Result: There were significant differences found in 45 items between Korean children and the children from the City of Denver as it relates to age differences. 90% of the sample passed items among 125 items from 4 sectors, e.g., personal- social. fine motor adaptive, language, and gross motor sectors. Korean children were found to be advanced in 9 items, whereas there were significant differences found in 38 items in our comparison of the two countries for age differences when 50% of sample pass items. Korean children were found to be advanced in 16 items. NP Conclusion: The result showed that there was a discrepancy in the developmental norms. It could be explained by the differences in the developmental environment. including child rearing patterns and ethnicity. Therefore, a restandardization of the Denver Screening Test is necessary as it relates to its application on Korean children. This restandardization is necessary in order to avoid both under and over-referrals of children with developmental abnormality. The modification of items in the language sector is especially suggested.

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Economic Screening Procedures in Normal and Logistic Models When the Rejected Items are Reprocessed (불합격 제품을 재 가공할 때 정규 및 로지스틱모형 하에서 경제적 선별검사)

  • Hong Sung Hoon
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 2002.05a
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    • pp.772-777
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    • 2002
  • In this paper, economic screening procedures with dichotomous performance variable T and continuous screening variable X are considered when the rejected items are reprocessed. Two models are considered; normal and logistic models. It is assumed that X given T is normally distributed in the normal model, and $P(T=1{\mid}X=x)$ Is given by a logistic function in the logistic model. Profit models are constructed which involve four price/cost components; selling price, cost from an accepted nonconforming item, and reprocessing and inspectioncosts. Methods of finding the optimal screening procedures are presented and numerical examples are given.

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A Preliminary Study of Developing Korean Oro-motor Mechanism Screening Examination (KOMSE) in Normal Adults (정상성인의 조음기관 구조 및 기능선별검사 제작을 위한 예비연구)

  • Shin, Moon-Ja;Kim, Jae-Ock;Lee, Soo-Bok;Lee, So-Yeon
    • Speech Sciences
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    • v.15 no.4
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    • pp.171-188
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    • 2008
  • This study was purposed to introduce Korean Oro-motor Mechanism Screening Examination (KOMSE) and to provide the standardized scores taken from 120 normal adults aged $18{\sim}59$. KOMSE was composed of 13 items of structure, 17 items of function, 3 items of voice, and 14 items of regularity and accuracy of articulation during diadochokinesis. Additionally, maximum phonation time and diadochokinetic rates were measured. Total score of KOMSE is ranged from 0 to 200. It was significantly higher in the $50{\sim}59$ age group than in the $20{\sim}29$ age group, but was not significantly different in sex. MPT had a significant difference in sex, but no significant difference among different age groups. The rate of DDK was also had no significant difference among different age groups. However, some reducing trend in the rate of DDK was observed as age increased. KOMSE would be very helpful for SLPs to screen the abnormality of oro-motor mechanism.

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