• 제목/요약/키워드: screening assessment

검색결과 609건 처리시간 0.029초

노인 암 환자의 접근과 관리 원칙 (How we should approach and manage older patients with cancer)

  • 김지현
    • 대한두경부종양학회지
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    • 제33권2호
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    • pp.1-8
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    • 2017
  • Cancer is the disease of aging and Korea is one of the fastest aging country in the world. Older patients have decreased organ function and stress tolerance, therefore are at high risk of functional decline and developing complication from cancer and cancer treatment. Before beginning cancer treatment, it is important to assess patients' life expectancy, whether the patient is likely to die of cancer or of other comorbidity, and also the risks with cancer treatment. In order to estimate patient's physiologic age, it is recommended to perform geriatric assessment and implement appropriate geriatric intervention together with meticulous supportive care, when planning cancer treatment for older patients. In a resource limited country such as Korea, two step approach of applying screening tool followed by geriatric assessment can be more efficient. Geriatric assessment is used to predict toxicity from cancer treatment such as surgery, radiotherapy, and chemotherapy, predict survival, and also to aid treatment decision. Number of randomized trials are ongoing to compare usual care versus oncogeriatric care, and with these results we expect to improve outcome of older patients with cancer.

Health Impact Assessment as a Strategy for Intersectoral Collaboration

  • Kang, Eun-Jeong;Park, Hyun-Jin;Kim, Ji-Eun
    • Journal of Preventive Medicine and Public Health
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    • 제44권5호
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    • pp.201-209
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    • 2011
  • Objectives: This study examined the use of health impact assessment (HIA) as a tool for intersectoral collaboration using the case of an HIA project conducted in Gwang Myeong City, Korea. Methods: A typical procedure for rapid HIA was used. In the screening step, the Aegi-Neung Waterside Park Plan was chosen as the target of the HIA. In the scoping step, the specific methods and tools to assess potential health impacts were chosen. A participatory workshop was held in the assessment step. Various interest groups, including the Department of Parks and Greenspace, the Department of Culture and Sports, the Department of Environment and Cleansing, civil societies, and residents, discussed previously reviewed literature on the potential health impacts of the Aegi-Neung Waterside Park Plan. Results: Potential health impacts and inequality issues were elicited from the workshop, and measures to maximize positive health impacts and minimize negative health impacts were recommended. The priorities among the recommendations were decided by voting. A report on the HIA was submitted to the Department of Parks and Greenspace for their consideration. Conclusions: Although this study examined only one case, it shows the potential usefulness of HIA as a tool for enhancing intersectoral collaboration. Some strategies to formally implement HIA are discussed.

Multimax Reactor System을 이용한 시멘트 혼화제 제조시 에스테르화공정의 열적 위험성 평가 (Assessment of Thermal Hazard on Esterification Process in Manufacture of Concrete Mixture Agents by Multimax Reactor System)

  • 한인수;이근원;표돈영
    • 한국안전학회지
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    • 제24권5호
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    • pp.13-20
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    • 2009
  • The risk assessment of thermal hazard to identify chemical or process hazard during early process developments have been considered. The early identification of thermal hazards associated with a process, such as rapid heats of reaction, exothermic decompositions, and the potential for thermal runaways before any large scale operations are undertaken. This paper presents to evaluate the safe operating parameters/envelope for exist plant operations. The assessment of thermal hazard with operating conditions such as amount of process materials, inhibitor, and catalyst on esterification process in manufacture of concrete mixture agents are described. The experiments were performed by a sort of calorimetry with the Multimax reactor system as a screening tool. The aim of the study was to evaluate the thermal risk of process material and mixture in terms of safety security to be practical applications in esterification process. It suggested that we should provide the thermal hazard of reaction materials to present safe operating conditions with cause of accident through this study.

A Study on Programming Ability Assessment Tool Development for the No-Programming Experienced

  • Jun, Woochun
    • International Journal of Internet, Broadcasting and Communication
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    • 제9권1호
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    • pp.56-63
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    • 2017
  • Programming is very important subject in computer science and similar computer-related areas such as electronics engineering, etc. Programming is also important for information education for elementary, middle, and high school students since programming is one of the most basic subjects in computer science courses and other similar areas. In current information and knowledge society, raising programming ability is a key factor for everyone's competitiveness. With highly-competitive programming ability, one can enjoy his or her daily life abundantly. He or she also can get a highly-paid job, and make money using his or her programming ability. In this paper, a programming ability assessment tool is developed and introduced for the no-programming experienced. It is very difficult to test programming ability for the no-programming experienced with non-programming tools or activities. In this paper, a programming ability assessment tool is developed based on logical thinking ability. Especially the proposed tool consists of 15 questions for test one's logical thinking ability. The tool does not require any computer science or programming background. The proposed tool will be helpful as criteria for entrance examination or job screening examination for programming-related areas or subjects.

Breast Cancer Risk Assessment Using the Gail Model: a Turkish Study

  • Erbil, Nulufer;Dundar, Nursel;Inan, Cigdem;Bolukbas, Nurgul
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권1호
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    • pp.303-306
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    • 2015
  • Purpose: This study was conducted to determine risk of developing of breast cancer among Turkish women. Materials and Methods: Using a descriptive and cross-sectional approach, data were collected from 231 women. Breast cancer risk was calculated using the National Cancer Institute's on-line verson of called as the Breast Cancer Risk Assessment Tool or the Gail Risk Assesment Tool. Results: The average age of women was $45.0{\pm}8.06$ years. It was revealed that 6.1% of participants reported having first degree relatives who had had breast cancer, with only four women having more than one first-degree relative affected (1.7%). The mean five-year breast cancer risk for all women was $0.88{\pm}0.91%$, and 7.4% of women had a five-year breast cancer risk >1.66% in this study. Mean lifetime breast cancer risk up to age 90 years was $9.3{\pm}5.2%$. Conclusions: The breast cancer risk assessment tool can help in the clinical management of patient seeking advice concerning screening and prevention. Healthcare providers in Turkey can use this approach to estimate an individual's probability of developing breast cancer.

우리 나라 가정.방문간호 사업을 위한 가정간호요구 사정도구 개발 - 자가간호개념에 근거한 가정간호진단을 중심으로 - (Development of a Home Care Need Assessment Tool - Focused on Home Care Nursing Diagnoses based on Self Care -)

  • 소애영;조병희
    • 지역사회간호학회지
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    • 제13권3호
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    • pp.433-443
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    • 2002
  • Objectives; The purpose of this study was to develop a framework for home care and a Home Care Need Assessment Tool. Method 1. Identifying common domains in the provision of home care. 2. Charts of 253 home care clients were reviewed to obtain a classification of the nursing diagnoses. 3. A focus group methodology was used to develop the domains. 4. The tool was applied to 439 home care clients.(Kappa value=0.460-1.000, sensitivity, 0.444-1.000: specificity, 0.743-1.000). 5. Some refinements and extractions of the defining characteristics and related factors were made based on the results of the focus group. Results Home Care Need Assessment Tool consists of three parts; -Part I : factors related to basic conditions -Part II : a screening component that enables home care nurses to assess 30 multiple domains of 53 nursing diagnoses. -Part III : summative nursing diagnoses and nursing need intensity for the clients. Conclusion This tool provides a comprehensive assessment that helps the recognition of many strengths as well as problems of the clients. It will be usefully utilized in scheduling home care nursing plans and evaluating client outcomes.

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담수산 물벼룩인 Moina macrocopa를 이용한 과불화화합물 PFOA와 PFOS의 독성평가 (Toxicity Assessment of PFOA and PFOS Using Freshwater Flea Hyalella azteca)

  • 이철우;김현미;최경희
    • Environmental Analysis Health and Toxicology
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    • 제22권3호
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    • pp.271-277
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    • 2007
  • Perfluorooctanoic acid (PFOA) and perfluorooctane sulfonate (PFOS) are fully flurorinated organic compounds which are highly persistent in environment and accumulated in organism. These chemicals are released to the environment at their manufacture, during their use in industrial and consumer applications and from disposal after their use. The purpose of this study was to determine the effects of PFOA and PFOS on the freshwater flea (Moina macrocopa). Acute toxicity test and chronic toxicity test were performed for 2 days and 10 days, respectively. Acute toxicity was assessed on the basis of mortality, while chronic toxicity was assessed by fecundity as well as mortality. The acute toxicity studies on PFOA and PFOS showed that the values of $LC_{50}$ were $73.9\;mg/L\;and\;27.7\;mg/L$ respectively. In the chronic toxicity test, fecundity was reduced significantly at 24.1 mg/L of PFOA and 9.3 mg/L of PFOS, respectively. Conclusively, the results of this work suggest that Moina macrocopa could be a suitable model organism for screening and assessing of environmental pollutants in water.

보육시설 영유아의 건강사정을 위한 기록지 개발 (A Study on the Development of Children's Health Assessment Tools in Child Care Centers)

  • 한경자;방경숙;권미경;김지수;최미영;허보윤
    • 부모자녀건강학회지
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    • 제12권1호
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    • pp.61-76
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    • 2009
  • Purpose: The purpose of this study was to develop child's health assessment tools for children in child care centers. Methods: Based on the literature review and several types of workshops participated with the child health nursing professors, doctoral students, nurses in pediatric units and pediatric psychiatric units from July to December 2006, the standards of child health assessment tools were developed. Graduate students and 4th grade students in nursing were trained for health assessment and used these assessment tools to validate the content and reliability of said tools. Results: Some record forms were newly developed, including demographic characteristics, past history, present health status, behavioral problems, and appropriate developmental screening tests in child care centers were selected. For systematic health care management in child care centers, daily care report, illness log, and referral sheet were also developed. Conclusion: In the face of growing utilization of daycare and their association with increased risk of various diseases, assessment and control measures are indispensable to the promotion of child health. Children's physical and mental health and developmental problems can be assessed using this assessment tools. They can be used for establishing the direction for developing a health care service system for young children.

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위험 선별 및 분석 통합 자동화 시스템 개발에 대한 연구 (Study on Development of Automated System for Hazard Screening at Analysis)

  • 한의진;김용하;최승준;김구회;윤인섭
    • 한국화재소방학회논문지
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    • 제17권4호
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    • pp.20-27
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    • 2003
  • 화학공장은 위험한 물리 화학적 특성을 가진 많은 물질들을 다루기 때문에 다른 어떤 공장보다 더 사고의 위험성이 크다. 띠라서 화학공장에서의 각 장치에 대한 위험성 평가는 반드시 필요하다. 현재 사용되고 있는 위험성 평가 방법은 정성적 또는 정량적인 방법으로 각각 개별적으로 적용되는데 정성적, 정량적의 통합된 방법을 적용하면 빠르고 쉽게 적용할 수 있다는 정성적인 방법의 장점과 정밀하게 평가될 수 있다는 정량적인 방법의 장점을 모두 갖출 수 있다. 이러한 통합된 위험성 평가방법을 적용하고 자동화한 ASCA(Automated System for Hazard Screening & Analysis)라는 S/W를 개발하여 실제 공정에 적용하였다. 본 연구에서는 방향족 긍정 중 H.T.U(Hydrotreating Unit)에 대하여 ASCA를 적용하여 각 장치의 상대 순위를 알아보고 D-101이라는 저장탱크에서 단열 실패로 온도 상승이 일어난 경우의 장치고장으로 인한 변수 이상과 발생 가능한 사고의 영향을 알아보았다. 이러한 통합 위험성 평가 시스템을 화학공장에 적용하여 봄으로써 사고 시나리오를 세워서 사고에 대한 비상사태를 대처할 수 있는 능력을 키울 수 있으며 사고를 예방할 수 있을 것이다.

화재폭발손실지수법을 이용한 BTX 공장의 위험선별 (Risk Screening of a BTX Plant Using FEDI Method)

  • 김용하;김인태;김인원;김구회;윤인섭
    • 한국화재소방학회논문지
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    • 제19권1호
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    • pp.20-28
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    • 2005
  • 미국, 유럽 등의 대형 화학회사들은 효율적인 위험관리를 위해 단계적 위험성평가 전략을 채택하고 있다. HAZOP이나 정량적위험성평가와 같은 상세한 평가를 수행하기 위한 사전단계로서 위험선별(risk screening)기법을 도입하였다. 본 연구에서는 Khan과 Abbasi가 제안한 위험선별방법인 화재폭발손실지수 법(Fire & Explosion Damage Index, FEDI)을 국내의 BTX플랜트에 적용시켜 보았다. 적용결과를 정량적위험성평가의 결과와 비교해 본 결과, 화재폭발손실지수법이 위험잠재성을 파악하는데 효과적으로 사용될 수 있음을 알 수 있었다. 또한 화재폭발손실지수 법에 대한 민감도분석을 수행함으로써 화재 및 폭발에 영향을 미치는 가장 큰 인자는 설비내 물질의 특성과 양(quantity)임을 알 수 있었다. 본 연구의 결과를 바탕으로 하여 HAZOP의 사전단계로서 화재폭발손실지수 법을 적용한다면 보다 효율적인 위험성 평가가 가능할 것이다.