• Title/Summary/Keyword: screening assessment

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Comparison of four nutritional screening tools for Korean hospitalized children

  • Lee, Yeoun Joo;Yang, Hye Ran
    • Nutrition Research and Practice
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    • v.13 no.5
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    • pp.410-414
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    • 2019
  • BACKGROUND/OBJECTIVES: Several nutritional screening tools were recently developed to screen the risk of malnutrition in hospitalized children, but have not been validated in Asia. We compared four nutritional screening tools for pediatric patients in evaluating nutritional risks in newly hospitalized children. SUBJECTS/METHODS: Medical records of newly admitted pediatric patients between June 2016 and May 2017 at two tertiary hospitals were reviewed. Initial information by nurses and hospital records by doctors on baseline demographic, clinical, and anthropometric data at admission were collected in all subjects. Nutritional risks were evaluated using four nutritional screening tools including the pediatric nutritional risk score (PNRS), the screening tool for the assessment of malnutrition in pediatrics (STAMP), the paediatric Yorkhill malnutrition score (PYMS), and the screening tools for risk of nutritional status and growth (STRONGkids). RESULTS: A total of 559 patients (310 boys and 249 girls, mean age $6.3{\pm}5.5years$) were recruited. Patients in medical and surgical departments were 469 (83.9%) and 90 (16.1%), respectively. The prevalence of patients at risk of malnutrition were 31.1% for low risk, 52.2% for medium risk, and 16.6% for high risk by PNRS; 11.4%, 39.7%, and 48.8% by STAMP; 26.5%, 25.4%, and 48.1% by PYMS; and 35.6%, 58.9%, and 5.5% by STRONGkids. PNRS versus STRONGkids and STAMP versus PYMS showed moderate agreement (kappa = 0.566 and kappa = 0.495, respectively). PYMS and STAMP revealed a relatively high sensitivity of 87.8% and 77.6% for wasting. CONCLUSION: Different nutritional screening tools revealed considerably different results in evaluating nutritional risks in newly hospitalized children. Since pediatric patients are at risk of malnutrition at admission and during hospitalization, screening tools should be applied properly according to the situation of each hospital.

Prevalence and Related Risk Factors of Delirium in Intensive Care Units as Detected by the CAM-ICU (CAM-ICU로 평가한 중환자실의 섬망 발생률과 섬망 발생 위험요인)

  • Choi, Su Jung;Cho, Yong Ae
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.3
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    • pp.406-416
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    • 2014
  • Purpose: Screening of delirium using delirium assessment tools could promote delirium detection, however, there is lack of report about regular delirium assessment in Korea. This study was intended to describe the prevalence and related risk factors of delirium in intensive care unit (ICU). Methods: The Confusion Assessment Method for the ICU (CAM-ICU) data which were evaluated by nurses in ICUs was obtained through retrospective chart review. Data were analyzed using descriptive statistics, Chi-square test, t-test, Mann-Whitney U test, and stepwise logistic regression. Results: Delirium was evaluated in 125 patients. The incidence rate of delirium was 27.2% with a high prevalence of hypoactive delirium compared to hyperactive delirium (61.8 vs. 38.2%). Those with delirium were older, had hypertension, stayed longer in hospital, receiving ventilator support, had more number of catheters, had low serum protein and albumin level. Delirium incidence also varied according to diagnosis. Age, diagnosis of gastrointestinal disease, and application of ventilator were the significant risk factors for the incidence of delirium. Conclusion: Routine delirium screening is important for early detection of delirium. Identification of high-risk group and running delirium prevention programs could improve early recognition of delirium in ICU.

Assessment Instruments for Posttraumatic Stress Disorder (외상후 스트레스장애의 평가 도구)

  • Seo, Ho-Jun;Kim, Tae-Suk;Chae, Jeong-Ho
    • Anxiety and mood
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    • v.6 no.1
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    • pp.3-9
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    • 2010
  • Even experienced clinicians have difficulties in diagnosing posttraumatic stress disorder (PTSD) exactly, due to its diverse clinical features, which vary according to individuals, traumas, and various comorbid psychopathologies, and its related compensation issues. It is usually mandatory for clinicians and researchers to use screening and assessment tools when diagnosing and evaluating PTSD. To date, research has developed numerous PTSD screening and assessment tools ; therefore one of the cardinal issues is to select the best of the various tools, the one most suitable for the clinician's or researcher's purposes. This article reviews several currently-available subjective and objective instruments for the diagnosis and evaluation of PTSD and groups them according to whether they are Diagnostic and Statistical Manual for Mental Disorders-Correspondent Measures ; PTSD-Focused, Non-DSM-Correspondent Measures ; or Empirically Derived Measures. We present the instruments' psychometric properties and scoring methods and describe their merits and weak points, focusing on their practical usage.

Cumulative Impact Assessment Using Environmental Health Screening Tool in Seoul (환경보건 스크리닝 툴을 이용한 서울시 누적영향 평가)

  • Lim, Yu-ra;Bae, Hyun-joo
    • Journal of the Korean association of regional geographers
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    • v.20 no.4
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    • pp.444-453
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    • 2014
  • Inequality of environmental impact is forecast to deepen due to the damage of environmental risk by the interaction between environmental and social inequalities causing more harms to environmentally vulnerable population. This study assessed the integrated cumulative impact of Seoul using Environmental Health Screening Tool developed by Environmental Protection Agency of California. In order to screen vulnerable area to environmental health, 10 indexes have been selected according to the environmental burden of exposure to environment and public health effects, population characteristics of sensitive populations and socio-economic factors. As a result of assessment conducted on cumulative impact of Seoul for years 2009~2011 through Environmental Health Screening Tool, risk factor for districts of Gangseo and Gangnam of Seoul showed high - Gangseo area indicated high risk factor both in environmental burden and population characteristics, while Gangnam area appeared high in environmental burden. The result of survey will be able to suggest scientific basis to push through fair and effective environmental policy in consideration of environment vulnerable population.

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Validity of Korean Version of Denver II in Screening Children with Developmental Risk (발달문제 위험 아동 선별을 위한 한국형 Denver II 검사의 타당성에 관한 연구)

  • Shin, Hee-Sun;Kwon, Bum-Sun;Lim, Seong-Or
    • Child Health Nursing Research
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    • v.11 no.3
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    • pp.316-321
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    • 2005
  • Purpose: This study was done to evaluate the validity of Korean Denver ll developmental screening test in screening children with developmental risk. Method: The participants in the study were 113 children referred for developmental assessment in the department of rehabilitation of D University hospital. They were examined with the BSID (Bayley Scales of Infant Development) II and Korean Denver II by one occupational therapist. The data was analyzed by $x^2$ test and discriminant analysis. Results: There was a significant relationship between the Mental Developmental Index (MDI) of the BSID II and the result of the Korean Denver II. The sensitivity and specificity of Korean Denver II were 0.87 and 0.62 when abnormal MDI was defined as lower than 85 was used as a diagnosis of developmental delay. There was a significant relationship between the Psychomotor Developmental Index (PDI) of the BSID ll and the result 0.7 Korean Denver ll. The sensitivity and specificity of Korean Denver II were 0.83 and 0.51 The over-all hit ratio was $79.6\%$. Conclusion: The result showed that the Korean Denver II was valid and has good sensitivity and moderate specificity in screening developmental delay.

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Importance of Volumetric Measurement Processes in Oncology Imaging Trials for Screening and Evaluation of Tumors as Per Response Evaluation Criteria in Solid Tumors

  • Vemuri, Ravi Chandra;Jarecha, Rudresh;Hwi, Kim Kah;Gundamaraju, Rohit;MaruthiKanth, Aripaka;Kulkarni, AravindRao;Reddy, Sundeep
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.5
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    • pp.2375-2378
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    • 2014
  • Cancer, like any disease, is a pathologic biological process. Drugs are designed to interfere with the pathologic process and should therefore also be validated using a functional screening method directed at these processes. Screening for cancers at an appropriate time and also evaluating results is also very important. Volumetric measurement helps in better screening and evaluation of tumors. Volumetry is a process of quantification of the tumors by identification (pre-cancerous or target lesion) and measurement. Volumetric image analysis allows an accurate, precise, sensitive, and medically valuable assessment of tumor response. It also helps in identifying possible outcomes such disease progression (PD) or complete response as per Response Evaluation Criteria in Solid Tumors (RECIST).

A Fast Contingency Screening Algorithm for On-line Transient Security Assessment Based on Stability Index

  • Nam, Hae-Kon;Kim, Yong-Hak;Song, Sung-Geun;Kim, Yong-Gu
    • KIEE International Transactions on Power Engineering
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    • v.2A no.4
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    • pp.131-135
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    • 2002
  • This paper describes a new ultra-fast contingency screening algorithm for on-line TSA without time simulation. All machines are represented in a classical model and the stability index is defined as the ratio between acceleration power during a fault and deceleration power after clearing the fault. Critical clustering of machines is done based on the stability index, and the power-angle curve of the critical machines is drawn assuming that the angles of the critical machines increase uniformly, while those of the non-critical ones remain constant. Finally, the critical clearing time (CCT) is computed using the power-angle curve. The proposed algorithm is tested on the KEPCO system comprised of 900-bus and 230-machines. The CCT values computed with the screening algorithm are in good agreement with those computed using the detailed model and the SIME method. The computation time for screening about 270 contingencies is 17 seconds with 1.2 GHz PC.

Environmental Impact Assessment and Environmental Monitoring: Monitoring Factors and Organization (환경영향평가와 측정 : 환경처 업무 중심으로)

  • Kang, In-Goo;Chang, Chun-Ki;Han, Eui-Jung;Kim, Myung-Jin
    • Journal of Environmental Impact Assessment
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    • v.3 no.2
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    • pp.69-75
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    • 1994
  • Environmental Impact Assessment is composed of screening, scoping, inventory survey, prediction, assessment, alternative assessment, mitigation measure, and post management. Environmental monitoring data is applied to EIA process such as prediction and post management. It must he collected and managed systematically for effective applying in EIA process. This article explains factors such as air quality, water quality, soil, ocean, odor, noise & vibration, ecosystem, etc. and organizations of environmental monitoring managed by Ministry of Environment.

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Preliminary Study for an Application to Environmental Impact Assessment of Remote Sensing Data (원격탐사자료의 환경영향평가 활용을 위한 기초연구)

  • Mun, Hyun-Saing;Kim, Myung-Jin;Kang, In-Goo;Bang, Kyu-Chul
    • Journal of Environmental Impact Assessment
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    • v.4 no.1
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    • pp.59-64
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    • 1995
  • Environmental Impact Assesment(EIA) is composed of various procedures, such as screening, scoping, inventory survey, prediction, assessment, mitigation measure, alternative assessment, and post management. Remote sensing introduced lately begins to be applied ecosystem and land use in inventory survey and assessment of EIA. This study explains on land use classification, buffering analysis of residential area, and overlaying analysis of odor predictive data with residential area for application to EIA with remote sensing data. Residential area extracted from land use classification of remote sensing provides effectively buffering analysis of residential area in selection of landfill site with GIS. It could assess also residential effect to an offensive odor by overlaying analysis. Application methods in EIA should be enlarged to assess effectively.

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Environmental Impact Assessment and Environmental Monitoring in Korea (한국에서의 환경영향평가와 환경측정)

  • Kang, In-Goo;Kim, Myung-Jin
    • Journal of Environmental Impact Assessment
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    • v.4 no.3
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    • pp.31-39
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    • 1995
  • Environmental Impact Assessment (EIA) is composed of various procedures, such as screening, scoping, inventory survey, prediction, assessment, alternative assessment, mitigation measures, and post management. Environmental monitoring data for air quality or water quality, etc. is applied in the EIA process, especially in prediction and post management. As an effective tool of environmental monitoring, the remote sensing method, introduced recently, was used in collecting nationwide data concerning ecosystem and land use. This article explains the current monitoring status in Korea. Monitoring factors include air quality, water quality, soil, ocean, odor, noise, and ecosystems. This report explains the organization of the environmental monitoring system managed by the Ministry of Environment in Korea. Furthermore, it shows the environmental criteria and environmental policies applied to EIA in Korea.

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