• Title/Summary/Keyword: screening assessment

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IDENTIFICATION OF HUMAN-INDUCED INITIATING EVENTS IN THE LOW POWER AND SHUTDOWN OPERATION USING THE COMMISSION ERROR SEARCH AND ASSESSMENT METHOD

  • KIM, YONGCHAN;KIM, JONGHYUN
    • Nuclear Engineering and Technology
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    • v.47 no.2
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    • pp.187-195
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    • 2015
  • Human-induced initiating events, also called Category B actions in human reliability analysis, are operator actions that may lead directly to initiating events. Most conventional probabilistic safety analyses typically assume that the frequency of initiating events also includes the probability of human-induced initiating events. However, some regulatory documents require Category B actions to be specifically analyzed and quantified in probabilistic safety analysis. An explicit modeling of Category B actions could also potentially lead to important insights into human performance in terms of safety. However, there is no standard procedure to identify Category B actions. This paper describes a systematic procedure to identify Category B actions for low power and shutdown conditions. The procedure includes several steps to determine operator actions that may lead to initiating events in the low power and shutdown stages. These steps are the selection of initiating events, the selection of systems or components, the screening of unlikely operating actions, and the quantification of initiating events. The procedure also provides the detailed instruction for each step, such as operator's action, information required, screening rules, and the outputs. Finally, the applicability of the suggested approach is also investigated by application to a plant example.

Determining the Awareness of and Compliance with Breast Cancer Screening among Turkish Residential Women

  • Yilmaz, Demet;Bebis, Hatice;Ortabag, Tulay
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.5
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    • pp.3281-3288
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    • 2013
  • Background: Breast cancer is the leading cause of cancer-related deaths in women. Despite being associated with high morbidity and mortality, breast cancer is a disease that can be diagnosed and treated early. Materials and Methods: In this cross-sectional study of 321 women, data were collected by Questionnaire, Breast Cancer Risk Assessment Form and Champion's Health Belief Model Scale. Mann-Whitney U, Kruskal-Wallis, Chisquared tests and logistic regression were used in the statistical analysis. Results: It was found that only 2.2% of women have high and very high risk levels of breast cancer risk. There is a positive correlation between early diagnosis techniques and Health Belief Model Sub-Dimension scores which are sensibility, health motivation, BSE (Breast self-examination) self-efficient perception and negative correlation between mammography barrier score and BSE barrier score (p 0.05). When factors for not having BSE were examined, it was determined that the women who do not have information about breast cancer and the women who smoke have a higher risk of not having BSE. Conclusions: It is important to determine health beliefs and breast cancer risk levels of women to increase the frequency of early diagnosis. Women's health beliefs are thought to be a good guide for planning health education programs for nurses working in this area.

Quantitative Assessment of Xenoestrogenic Environmental Pollutants using E-SCREEN Assay (E-SCREEN Assay를 이용한 내분비계 장애물질의 정량적 평가)

  • 오승민;이상기;정규혁
    • YAKHAK HOEJI
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    • v.44 no.5
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    • pp.416-423
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    • 2000
  • There is a growing concern that a wide variety of chemicals released into the environment can disrupt the endocrine system of fish, wildlife and humans. Endocrine disrupting chemicals (EDCs) include pesticides such as DDT lindane and atrazine, the food packaging chemicals, phthalates and bisphenol A, alkylphenol ethoxylate detergents and the chemical industry by-products, dioxins. Xenoestrogens in the environment have been argued about health risk, because of estrogen mimetic chemicals are exposed only small amounts to human. A number of in vivo and in vitro assays are now in use to assess the activity of xenoestrogens in the environment. A human breast cancer cell line (MCF-7) was used to develop in vitro screening assay for the detection of xenoestrogenic environmental pollutants. The E-SCREEN (MCF7-BUS) assay is proposed as a reliable, easy and rapid-to-perform method. To optimize and validate this method before it can be used routinely, several phenol compounds and pesticides suspected to be estrogenic were tested using I-SCREEN assay. The results showed that this method is a valuable tool for screening potential estrogen-mimicking environmental pollutants and quantitative determination of estrogeniciy.

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Normative Data of the Yonsei Dual Task Cognitive Screening Test (Y-DuCog) for Korean Older Adults and Characteristics of Cognitive Function (국내 고령자의 Y-DuCog 표준치, 인지기능에 관한 연구)

  • Kwak, Hosoung
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.4
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    • pp.59-66
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    • 2020
  • Purpose : This study aimed to present normative data for older Korean adults completing the Yonsei dual task cognitive screening test (Y-DuCog) and identify changes in cognitive function on the Montreal Cognitive Assessment - Korean (MoCA-K) with age. Methods : From May 2019 to August 2019, 195 healthy adults aged ≥60 years participated in this study. All participants completed the Y-DuCog to assess their dual-task performance and the MoCA-K to assess their cognitive function. Participants were divided into three groups based on their age: 60~69 years, 70~79 years, and ≥80 years. Results : The results of the Y-DuCog showed that dual-task performance time, effect, and correct response rate decreased significantly with age (p<.001). Scores from the three groups showed differences on all items (p<.001). Cognitive function on the MoCA-K also decreased significantly with age (mean score ± standard deviation [SD]; 27.33 ± 2.61 in subjects aged 60~69 years; 24.82 ± 3.20 in subjects aged 70~79 years; and 22.10 ± 4.91 in subjects aged ≥80 years; p<.001). Conclusions : Occupational therapists should be aware of the decline in cognitive function and dual-task performance time, effect, and correct response rate in older adults and consider interventions to treat this decline. Further studies are needed with larger groups of participants to examine factors, such as sex and education, that may impact dual-task performance and cognitive function.

Physical Therapy Screening and Management for Individuals with Intellectual Disability: Focus on the Special Olympics FUNfitness (지적장애인을 위한 물리치료 선별검사와 관리: 스페셜올림픽 FUNfitness 중심으로)

  • Chang-Ryeol Lee
    • Journal of the Korean Society of Physical Medicine
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    • v.19 no.2
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    • pp.75-89
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    • 2024
  • PURPOSE: This study aims to review the FUNfitness program, conducted by physical therapists as part of the Special Olympics Athlete Health Promotion Program, to provide basic data for the health management of individuals with intellectual disabilities. METHODS: This study collected and organized materials related to the Special Olympics Athlete Health Promotion Program, as well as training manuals for FUNfitness. Additionally, it referenced activity reports of the FUNfitness program developed through the collaboration between the American Physical Therapy Association and the Special Olympics. RESULTS: The results of this study present the definition and composition of the Special Olympics Athlete Health Promotion Program, its objectives, the definition and design objectives of the FUNfitness program, the composition and evaluation procedures of the testing and assessment items, and recommendations for referral for additional physical therapy interventions following FUNfitness education. CONCLUSION: This article describes the importance of physical therapists understanding physical therapy screening and management for the health care of individuals with intellectual disabilities, emphasizing the need for their continuous interest in promoting the health of individuals with intellectual disabilities.

A Preliminary Study on the Status and Improvement of the Environmental Assessment of Coastal Erosion in Korea (해안침식 환경평가 현황 및 개선방안 연구)

  • Cho, Kwang-Woo;Maeng, Jun-Ho;Shin, Hyun-Hwa;Joo, Yong-Jun
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.21 no.2
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    • pp.174-181
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    • 2009
  • The present study is a preliminary attempt to effectively incorporate the environmental issue of coastal erosion into the environmental assessment process of Korea. We assess the status of the environmental assessment on coastal erosion for the previous development plans and provide potential directions for the improvement. The considerable project plans should be screened for the impact of coastal erosion, which occupies about 20% of the total project plans reviewed, and the ratio increased with project scale. In addition to screening process, most process including scoping, baseline study, impact assessment, and follow-up need to be improved. The potential directions of improvement are provided in terms of appropriate guideline development, employment of cumulative impact assessment, follow-up improvement and rearrangement of the preparation regulation of environmental assessment. Emphasis is given for follow-up process to review post-monitoring period, to employ science compensation, and to consider the establishment of relevant institution. Final suggestion is made for the establishments of comprehensive national plan to manage coastal erosion and streamlined environmental process from strategic to project levels based on the national plan.

Comparative Assessment of a Self-sampling Device and Gynecologist Sampling for Cytology and HPV DNA Detection in a Rural and Low Resource Setting: Malaysian Experience

  • Latiff, Latiffah A;Ibrahim, Zaidah;Pei, Chong Pei;Rahman, Sabariah Abdul;Akhtari-Zavare, Mehrnoosh
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.18
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    • pp.8495-8501
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    • 2016
  • Purpose: This study was conducted to assess the agreement and differences between cervical self-sampling with a Kato device (KSSD) and gynecologist sampling for Pap cytology and human papillomavirus DNA (HPV DNA) detection. Materials and Methods: Women underwent self-sampling followed by gynecologist sampling during screening at two primary health clinics. Pap cytology of cervical specimens was evaluated for specimen adequacy, presence of endocervical cells or transformation zone cells and cytological interpretation for cells abnormalities. Cervical specimens were also extracted and tested for HPV DNA detection. Positive HPV smears underwent gene sequencing and HPV genotyping by referring to the online NCBI gene bank. Results were compared between samplings by Kappa agreement and McNemar test. Results: For Pap specimen adequacy, KSSD showed 100% agreement with gynecologist sampling but had only 32.3% agreement for presence of endocervical cells. Both sampling showed 100% agreement with only 1 case detected HSIL favouring CIN2 for cytology result. HPV DNA detection showed 86.2%agreement (K=0.64, 95% CI 0.524-0.756, p=0.001) between samplings. KSSD and gynaecologist sampling identified high risk HPV in 17.3% and 23.9% respectively (p=0.014). Conclusion: The self-sampling using Kato device can serve as a tool in Pap cytology and HPV DNA detection in low resource settings in Malaysia. Self-sampling devices such as KSSD can be used as an alternative technique to gynaecologist sampling for cervical cancer screening among rural populations in Malaysia.

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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Assessment on the Spatial Accessibility of Medical Institutions Providing National Gastric Cancer Screening Service using a geographic information system - Focused on the Area of Gangwon-do - (지리정보시스템을 이용한 국가 위암검진서비스 제공 의료기관에 대한 공간적 접근성 평가 - 강원도 지역을 중심으로 -)

  • Park, Young-Yong;Park, Ju-Hyun;Park, Yu-Hyun;Lee, Kwang-Soo
    • The Korean Journal of Health Service Management
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    • v.13 no.1
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    • pp.15-30
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    • 2019
  • Objectives: This study aimed to analyze people's accessibility to medical institutions providing national gastric cancer screening services in Gangwon-do using a geographic information system(GIS). Methods: To assess the spatial accessibility, network analysis was applied. Two types of network analysis-Service area analysis and origin-destination cost matrix(OD-cost matrix)-were applied to create network dataset. Results: The results of the analysis of the service area revealed that it took more than 60 minutes each to reach tertiary hospitals and general hospitals from 74.4% and 9.6% of Gangwon-do areas, respectively. Similarly, it took more than 60 minutes each to reach hospitals and clinics from 4.2% and 3.4% of Gangwon-do areas, respectively. The results of the OD-cost revealed that there were large regional variations in distance and time taken to reach the medical institutions. Conclusions: there were regional variations of spatial accessibility between Si and Gun in Gangwon-do.

Assessment of the erosive potential of elder-friendly foods (액상형 고령친화식품의 치아부식능 평가)

  • Jung, Eun-Ha;Kang, Jung-Yun;Han, Sun-Young
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.5
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    • pp.461-468
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    • 2022
  • Objectives: To investigate the effect of several elder-friendly foods on oral health and suggest guidelines for proper food intake. Methods: Six elderly-friendly foods (liquid type) and two control groups (mineral water and mixed coffee) were selected for this study. The pH of the food was measured using a calibrated pH meter, and the titratable acidity was determined using 1 M NaOH until 7.0 (TA 7.0). The screening method suggested by the International Organization for Standards was performed using an undersaturated hydroxyapatite solution to determine the difference between the initial and final pH of the screening solution (△pH). In addition, the sugar content was measured and expressed as Brix (%). Results: All the elder-friendly foods tested in this study showed a neutral pH (6.68-7.35), similar to mineral water (pH 7.84). The range of TA 7.0 values was 0.00-0.54 ㎖. The changes in pH determined using the screening solution confirmed that the largest change in pH was found in Careon (△pH 1.14±0.02), which has no erosive potential. Nevertheless, all elder-friendly foods had higher sugar content than the negative control group. Conclusions: Low tooth erosive potential was found in elder-friendly foods, but these foods showed high sugar content.