• Title/Summary/Keyword: language screening

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Korean-American Women's Experience of Cancer Prevention in the U.S. (재미 한인 여성의 암 예방 경험)

  • Jun, Myunghee;Choi, Kyungsook;Kim, Hye-Kyung;Vipavee, Thongpriwan;Shin, Gyeyoung
    • Journal of muscle and joint health
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    • v.29 no.2
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    • pp.100-112
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    • 2022
  • Purpose: This study is a qualitative analysis of Korean-American (K-A) women's cancer prevention in the US. Methods: Qualitative research was conducted. Fifteen K-A women in four states were interviewed. Content theme analysis was used to analyze verbatim transcriptions of interviews. Results: Participants experienced difficulties in utilizing cancer screening programs. Factors include unfamiliarity with the US health care system, high health care costs or lack of health insurance, language barriers, and irregular and sporadic cancer screening participation. Participants also actively pursued non-institutional approaches to cancer prevention. They engaged in word-of-mouth informational exchanges in K-A communities, sought cancer screening in hospitals in Korea, conducted internet searches, autonomously decided on their health issues, and adopted healthy practices including better diets, physical exercise, and spiritual practices. Conclusion: It is necessary to implement measures to increase K-A women's utilization of the US cancer screening services and to encourage their active engagement in hands-on cancer prevention practices. K-A women should be empowered through increased familiarity with US cancer screening services and through the establishment of improved K-A community social services.

Quality indicators in colonoscopy: the chasm between ideal and reality

  • Su Bee Park;Jae Myung Cha
    • Clinical Endoscopy
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    • v.55 no.3
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    • pp.332-338
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    • 2022
  • Continuous measurement of quality indicators (QIs) should be a routine part of colonoscopy, as a wide variation still exists in the performance and quality levels of colonoscopy in Korea. Among the many QIs of colonoscopy, the adenoma detection rate, average withdrawal time, bowel preparation adequacy, and cecal intubation rate should be monitored in daily clinical practice to improve the quality of the procedure. The adenoma detection rate is the best indicator of the quality of colonoscopy; however, it has many limitations for universal use in daily practice. With the development of natural language processing, the adenoma detection rate is expected to become more effective and useful. It is important that colonoscopists do not strictly and mechanically maintain an average withdrawal time of 6 minutes but instead perform careful colonoscopy to maximally expose the colonic mucosa with a withdrawal time of at least 6 minutes. To achieve adequate bowel preparation, documentation of bowel preparation with the Boston Bowel Preparation Scale (BBPS) should be a routine part of colonoscopy. When colonoscopists routinely followed the bowel preparation protocols, ≥85% of outpatient screening colonoscopies had a BBPS score of ≥6. In addition, the cecal intubation rate should be ≥95% of all screening colonoscopies. The first step in improving colonoscopy quality in Korea is to apply these key performance measurements in clinical practice.

Reasons for Variation in Sensitivity and Specificity of Visual Inspection with Acetic Acid (VIA) for the Detection of Pre-Cancer and Cancer Lesions of Uterine Cervix

  • Parashari, Aditya;Singh, Veena
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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    • pp.7761-7762
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    • 2013
  • Alternative strategies such as visual inspection of cervix with acetic acid, are real time, economical and easily implemented methods for cervical cancer screening. However, variable sensitivity and specificity have been observed in various community based studies. The possible reasons could include variation in man power training, light source used for visualization, and preparation of diluted (4-5%) acetic acid and its storage. A standardized protocol for training, teaching material (easy to understand in the local language) for trainees, supervision and reinforcement by intermittent and supplementary training to check the quality of their observation, a standard protocol for preparation dilute acetic acid and its storage and a standard good light source (equivalent to day light) are needed to minimize the variation in sensitivity and specificity of VIA in community settings.

Comparison of Smart Phone Application Based Hearing Screening and Hearing Handicap Inventory (스마트 폰 애플리케이션 기반 청각선별과 설문 청각선별의 비교)

  • Heo, Seung-Deok;Park, Chan-Ho;Song, Byung-Seop
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.11 no.1
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    • pp.73-79
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    • 2017
  • It is difficult to detect the adult hearing loss after the language acquisition because of its slow progression, which can be evaluated voluntarily and actively when the appropriate tools are provided. Smartphones are one of useful tools, and they can utilize surveys and/or applications for hearing screening. This study aims to verify the possibility as a tool discovering delayed acquired hearing losses by comparing the pure tone screening application (app_PTS) which was recently developed by our research team and hearing handciap inventory (HHI). The subjects were 22 people whose age ranges from 10s to 80s. For pure tone averages (PTAs), hearing threshold level was selected the best one in same frequency, in both ears. Sensitivity and specificity of HHI were confirmed based on self awareness of hearing loss and PTAs at 1, 2, 4 kHz. Comparisons of two tests were measured by analyzing simple regression of correlation between PTAs of App_PTS and HHI scores. Sensitivity and specificity were 1.000 in both criteria. There was a statistically significant relationship between the PTAs_4 kHz and HHI (R-square = .951, p = .000). Hearing screening by questionnaire showed high correlation with smart phones based on application. Therefore, it can be useful as a hearing screening tool for individual life cycle using an user-friendly tool.

Perceived Health Status, Health Behavior, and Marital Satisfaction in Married Immigrant Women (여성 결혼이민자의 주관적 건강상태, 건강행위 실천, 결혼만족도)

  • Kim, Gwang-Suk;Moon, Sun-Sook
    • Journal of Korean Public Health Nursing
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    • v.25 no.2
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    • pp.174-186
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    • 2011
  • Purpose: The study examined the correlation of perceived health status, health behaviors, and marital satisfaction in women who have immigrated to Korea through marriage. Method: Data were collected via questionnaires that investigated health status, health behaviors, Korean language ability, characteristics of couple, and marital satisfaction. Three hundred four subjects were selected for a 4-month period. The data of 300 subjects were analyzed using descriptive analysis, t-test, ANOVA, and correlation, after four questionnaires were excluded due to incomplete data. Results: Perceived health status varied significantly according to nationality, existence of religion, and period of immigration. The scores for perceived health status among women who had lived in Korea for more than 5 years were lower than for women who had resided for 1-3 years. There was a significant positive correlation between health status and health behavior, and health status and Korean language ability, but a negative correlation between health status and age. Conclusion: A program for the improvement of health in immigrant women should include communication assistance as their mother language and should provide periodic health screening.

A Study on Recognition of Autism Spectrum Disorder Among Infants and Toddlers by Childcare Teachers : With a Focus on Focus Group Interviews (보육교사의 영유아 자폐스펙트럼장애 인식에 관한 연구: 포커스 그룹 인터뷰(FGI)를 중심으로)

  • Lee, Kyung-Sook;Park, Jin-Ah
    • Korean Journal of Childcare and Education
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    • v.12 no.3
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    • pp.211-238
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    • 2016
  • This study examines indicators and factors for identification of ASD(Autism Spectrum Disorder) characteristics of infants and toddlers and early screening of children with ASD by day care teachers. Focus group interviews were conducted with 11 teachers by a semi-structured questionnaire developed by the authors. The findings are: 1) key problems and indicators of behavioral characteristics of children with ASD included problems with social communication and interactions, restricted and unusual interests, outstanding ability in specific areas, insistence on sameness and ritualized patterns, problems with language development and communication, sensory abnormalities; 2) counseling with parents of children with ASD revealed a lack of recognition of parents, negative expressions of emotions and resistance, and difficulties in referral to and association with experts; 3) needs for ASD in the child care field included visiting by experts, provision of test scales, training of child care teachers and parents, and building cooperative systems; and 4) demands of development and execution of a Korean-style scale for early screening of children with ASD.

Performance in a phonological deletion awareness task according to age and gender : Development of a phonological awareness screening test for preschool children (연령과 성에 따른 음운인식 탈락과제 수행력 : 학령전기 아동을 위한 음운인식 선별검사 개발)

  • Kim, Soo Jin;Oh, Gyung Ah;Seo, Eun Young;Ko, Yoo Kyeong
    • Phonetics and Speech Sciences
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    • v.10 no.2
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    • pp.61-68
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    • 2018
  • Phonological awareness, or consciousness of speech sounds and operational skill with them, develops in the order word > syllable > phoneme, over the ages of four to seven. Among the various types of phonological awareness tasks, the deletion task has a higher level of difficulty because it requires operation and deletion of sounds within words. This task also has a high correlation with reading proficiency. This study utilized a deletion task with 20 questions to see how operational development depended on age and gender. The deletion task, with 20 questions, was tested on four- to six-year old children developing normally (N = 90). The results showed that phonological awareness performance improved with age. This age effect was not accompanied by a gender effect; age and gender interacted. The study confirmed the development of phonological awareness in four- to six-year-old children who were developing normally. The deletion task can be used to effectively detect the risk of difficulties with phonological awareness in preschoolers with speech, language, and reading problems.

A Study to Standardize the Child Development Review in Korea (영.유아발달선별검사(Child Development Review)의 한국에서의 표준화 연구)

  • Shin, Hee-Sun;Kim, Jeong-Mee
    • Child Health Nursing Research
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    • v.12 no.3
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    • pp.333-340
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    • 2006
  • Purpose: This study was to restandardize the Child Development Review (CDR) which was developed by Dr. Ireton and based on Child Development Inventory (CDI). Method: The participants were 1143 children who were aged 12months to 6.3years old and parents. They were the sample for standardization study of CDI. The age level assigned to each item of Korean version of CDI were assessed. The reliability and validity was analyzed by reliability coefficient and concurrent validity analysis. Result: The item set was revised by the age level of each item at which at least 75 percent of parents answered YES to the statement. The child development chart was composed of 100 item which include social, self-help, gross motor, fine motor, and language sector. The internal consistency coefficient of the instrument was .93. The concurrent validity with Korean Denver II was good. Conclusions: The Korean version of CDR showed good reliability and validity. It could be utilized for developmental screening at pediatric clinic and child care center.

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Development & Validation of a Checklist for Infant and Child Developmental Screening (영유아 발달선열검사를 위한 체크리스트 개발 및 타당도 검정)

  • Ju, Hyeon-Ok;Lee, Nae-Young;Park, In-Sook;Lee, Sun-Ok;Kim, So-Hee
    • Child Health Nursing Research
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    • v.15 no.1
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    • pp.34-41
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    • 2009
  • Purpose: In this study, a Checklist for Infant and Child Developmental Screening (CICDS) was designed for use by primary pediatric health care providers to identify infants and children with developmental delays. Method: Each Item of the CICDS was constructed referring to existing tools. In 5 public health centers of B city, 500 infants and children were selected at the age of 2, 4, 6, 12, & 18 months and assessed between October and December 2006, CICDS and the Korea Denver II were compared to assesses the validity of the CICDS. Results: The CICDS consisted of 30 items in 4 areas; Personal-social, Fine motor-adaptive, Language, Gross motor. The results of the CICDS correlated significantly with the result of Korea Denver II at each month of age. (r=0.19; p<.01). Of the 500 infants and children, 148 were "suspect" for development delays (sensitivity of 96%, specificity 73%). On the CICDS, 74.6% of children received same result as Denver II. In discriminant analysis, 89.9% of children were identified correctly by CICDS (p<.01). Conclusion: CICDS could be a screening procedures to quickly and reliably identify infants with developmental delays. It also provides a mean of recording measurements of development characteristics.

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The Growth and Development of Infants in Orphanage (일 지역 시설 영.유아의 신체 성장과 발달 평가)

  • Kim, Tae-Im
    • Korean Parent-Child Health Journal
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    • v.5 no.2
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    • pp.177-190
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    • 2002
  • This study were conducted to assess the physical growth and developmental status of infants in orphanage in order to provide an empirical data. The subjects for this study were 104 infants and toddlers who were reared in an orphanage in D Metropolitan city. The instrument used for this study were anthropometric assessment and DDST for normative data of development. Data has been collected from September 1st, 1998 to August 31st, 2000 and were analyzed using SPSS/PC(Version 10.0) with frequency, mean, standard deviation, ANOVA and Chi-square test. The results of this study were as follows; 1. 30.8% of infants in orphanage had abnormal weight, 26.9% had abnormal length, and 22.1% had abnormal head circumference and most of them were distributed below 50 percentile of growth chart. 2. 53.8% of infants in orphanage had normal, 27.9% had qustionable, and 18.3% had abnormal developmental screening test results, especially, 31.5% of infants in orphanage ages 3 to 5 years had abnormal developmental screening test results, according to the Denver Developmental Screening Test(DDST). There was a significant developmental delay noted in the language and fine motor-adaptive sector. 3. It is anticipated that developmental delays would increase in severity by older the mean age of orphanage infants and longer the time being raised in orphanage. It would be concluded that the physical growth and developmental status of orphaned infants were very vulnerable and serious and it is suggested that there needed an effective intervention strategies to promote growth and development of infants in orphanage.

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