• Title/Summary/Keyword: screening methods

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Practices of Antitumor Screening Tests for Natural Products (천연항종양성자원 とスクリニングの 실제)

  • 코이치
    • Korean Journal of Plant Resources
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    • v.5 no.2
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    • pp.95-103
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    • 1992
  • Present anticancer drugs in the clinical side have not showed a conclusive effect of the chemotherapy for cancer patients. In order to find much more efficient antitumor agents fromnatural resources, various screening methods vivo and in vitro have been developed by manyresearchers. The intention of this paper is to provide an outline of some background on the tumorsystem in drug development of natural products, to review some screening programs for theevaluation of antitumor activity and to introduce the practical procedures of some antitumorscreening methods in vivo and in vitro. At the end of this paper, the current literatures related toantitumor natural products from higher plants at our laboratory are described.Key words'anticancer drugs, screening methods.

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Nutrition Evaluation Screening Tool: An Easy to Use Screening Tool for Hospitalised Children

  • Dokal, Kitt;Asmar, Nadia;Shergill-Bonner, Rita;Mutalib, Mohamed
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.24 no.1
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    • pp.90-99
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    • 2021
  • Purpose: Nutrition screening is vital to ensure patients are appropriately managed in hospital. In paediatrics there is currently no universally accepted nutrition screening tool. The Nutrition Evaluation Screening Tool (NEST) was developed as an easy to use and practical screening tool for hospitalised children. We aim to evaluate compliance of the NEST and assess agreement of the NEST with the already validated nutrition screening tools, Screening Tool for Risk on Nutritional Status and Growth (STRONGkids), Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP) and the Subjective Global Nutritional Assessment (SGNA) tool. Methods: Retrospective review of 102 patient episodes at the Evelina London Children's Hospital. Electronic records were used to assess NEST compliance and to complete the nutrition tools for each patient episode. Cohen's kappa was used to determine the level of agreement between each nutrition tool. Results: There was moderate agreement between the NEST and the two screening tools, STRONGkids (κ=0.472) and STAMP (κ=0.416) for patients on initial screening at admission. 87.2% of patient episodes were NEST compliant within 24 hours of admission to hospital. Conclusion: The moderate agreement between these two already validated screening tools enhances the NEST's validity as a paediatric screening tool. The NEST had the strongest correlation with the SGNA tool compared to other screening tools. The NEST is user friendly screening tool for hospitalised children.

An Economic Two-Sided Screening Procedure Using a Correlated Variable with Multi-Decision Alternatives (다 결정 대안을 갖는 대용특성을 이용한 경제적 양측 선별검사방식)

  • Hong, Sung-Hoon
    • Journal of Korean Institute of Industrial Engineers
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    • v.21 no.3
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    • pp.387-396
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    • 1995
  • For situations where there are several markets with different profit/cost structures, an economic two-sided screening procedure using a correlated variable is developed. It is assumed that the performance variable and the screening variable are jointly normally distributed. A profit model is constructed which involves selling price, cost incurred by imperfect quality, and screening inspection cost. Methods of finding the optimal screening procedure are presented and numerical examples are given.

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The prevalence of pediatric endocrine and metabolic diseases in Korea (한국 소아 내분비 및 대사질환의 역학)

  • Lee, Dong Hwan
    • Clinical and Experimental Pediatrics
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    • v.51 no.6
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    • pp.559-563
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    • 2008
  • The government neonatal screening program has a 17-years history. Therefore, it can now provide information on the prevalence of endocrine and metabolic diseases which included in neonatal screening. Knowledge of the prevalence of metabolic diseases is very important with these results, the most effective screening methods can be determined and diseases can be identified that should be added to neonatal screening. For these purposes regular follow-up of patients with metabolic diseases and quality assuarance are also needed.

Optimum Screening Procedures Using Prior Information

  • Kim, Sang-Boo
    • Journal of Korean Society for Quality Management
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    • v.22 no.1
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    • pp.142-151
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    • 1994
  • Optimum screening procedures using prior information are presented. An optimal cutoff value on the screening variable X minimizing the expected total cost is obtained for the normal model; it is assumed that a continuous screening variable X given a dichotomous performance variable T is normally distributed and that costs are incurred by screening inspection and misclassification errors. Methods for finding optimal cutoff values based on the prior distributions for unknown parameters are presented.

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Comparative Study on the National Health Screening Programs according to the Health Insurance System (국가별 건강보험체계에 따른 국가건강검진제도 비교 연구)

  • Lee, Yeji;Kim, Eunyoung;Lee, Donghyun
    • Health Policy and Management
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    • v.31 no.3
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    • pp.272-279
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    • 2021
  • Background: Korea's health screening program has been faced the need for changes as the population and diseases structure are changing. In addition to Korea, many countries operate state-led health check-up programs to improve the health level of the people, and the operating methods of the program appear in various forms according to each country's health insurance system. This study examines other state-led health screening programs and proposes a direction for the development of Korea's health screening program. Methods: The study was conducted using the literature review method, and the "country" was set as a unit for the case analysis. The operating method of the health screening programs and the financial resources were compared according to the health insurance system. Five countries were selected as Korea, the United States, the United Kingdom, Japan, and Taiwan. Results: The analyzed countries mainly operate the health screening program as a management method for chronic diseases, but there were differences in the operating method, financing, and targeted subjects and examination items. In most countries, a risk assessment was performed prior to the examination (screening), and the subjects who needed the examination were first selected, and a follow-up management service was provided in accordance with the risk each individual exposed. Conclusion: Rather than applying the same screening method to populations with different risk levels, a health screening program will be constructed in consideration of the individual's health level and exposure risk, and the healthcare delivery system will be reorganized so that screening and treatment services can be linked.

Design of Rectifying Screening Procedures Using a Surrogate Variable (대용특성을 이용한 선별형 스크리닝 절차의 설계)

  • Hong, Sung-Hoon
    • Journal of Korean Institute of Industrial Engineers
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    • v.32 no.1
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    • pp.51-60
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    • 2006
  • When the nature of measuring a performance variable is destructive or very expensive, it is attractive to use a surrogate variable which is highly correlated with the performance variable and less expensive to measure. In this paper, we propose rectifying screening procedures using the performance and surrogate variables. Two screening procedures are considered; a statistically-based screening procedure to reduce the current proportion of nonconforming items to a specified lower value after screening, and an economically-based screening procedure where the screening limit is determined so that the expected cost is minimized. It is assumed that the surrogate variable given the performance variable is normally distributed with known mean and standard deviation. For two screening procedures, methods of finding the optimal solutions are presented and numerical examples are also given.

What is the Most Effective Strategy for Improving the Cancer Screening Rate in Japan?

  • Sano, Hiroshi;Goto, Rei;Hamashima, Chisato
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.6
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    • pp.2607-2612
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    • 2014
  • Background: Cancer screening rates in Japan are much lower than those in Western countries. This study evaluated the relationship between cancer screening rates and strategies used to improve screening rates, and determined which strategy is the most effective. Materials and Methods: All municipalities are responsible for conducting gastric, lung, colorectal, cervical, and breast cancer screenings in Japan. Of the 1,746 municipalities in total, 92-99% were included in the analyses for each cancer screening. Using national data in 2009, the correlations between cancer screening rates and strategies for improving screening rates of all municipalities, both large (populations of over 30,000) and small (populations of under 30,000), were determined. The strategies used were as follows: sending personal invitation letters, personal visits by community health workers, use of a clinical setting for screening, and free screening. Results: Of all four strategies used to improve cancer screening rates, sending personal invitation letters had the highest correlations with all screening rates, with the exception of breast cancer screening. The partial correlation coefficients linking this strategy with the screening rates in all municipalities were 0.28, 0.32, 0.30, and 0.26 for gastric, lung, colorectal, and cervical cancer screening, respectively. In large municipalities, the correlations between the number of examinees in a clinical setting and the screening rates were also relatively high, particularly for cervical cancer screening (r=0.41). Conclusions: Sending personal invitation letters appears to be particularly effective in improving cancer screening rates in all municipalities. All municipalities should implement a system that sends personal invitation letters for cancer screening. In large municipalities, increasing the availability of screening in a clinical setting is also effective in improving cancer screening rates.

Factors Affecting Early Cancer Screening for Lung Cancer: Focusing on Lung Cancer Screening Subjects (폐암의 조기 암검진 여부에 미치는 요인: 폐암 검진 사업대상자를 중심으로)

  • Kim, Seok Hwan
    • The Journal of Korean Society for School & Community Health Education
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    • v.20 no.3
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    • pp.53-65
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    • 2019
  • Objectives: The purpose of this study is to examine the current status of cancer screening among subjects in the lung cancer screening cycle and to analyze the factors affecting the cancer screening of subjects in the lung cancer screening cycle. Methods: This study used the 'National Health and Nutrition Survey 7th Year (2017)' surveyed nationwide as the main data. The subjects are lung cancer screening projects, the dependent variable is early cancer screening, the independent variables are gender, age, marital status, household income level, education level, national health insurance type, private health insurance, The number of chronic diseases, general health examination, smoking status, drinking status, moderate intensity physical activity, stress perception rate, and weight control efforts were determined. Results: The results of this study showed that factors affecting early cancer screening of lung cancer screening subjects were gender, age, marital status, education level, national health insurance, smoking status, drinking status, moderate physical activity, and weight. Irrespective of the control effort, it was found that the private medical insurance, the number of chronic diseases, the medical examination, and the stress perception rate were affected. Conclusion: If the lung cancer screening subjects recognize the importance of early cancer screening themselves and create a social environment to increase their participation rate, lung cancer screening patients and their families will help them to live a healthy life.

Translating Evidence into Practice in Low Resource Settings: Cervical Cancer Screening Tests are Only Part of the Solution in Rural India

  • Isaac, Rita;Finkel, Madelon;Olver, Ian;Annie, I.K.;Prashanth, H.R.;Subhashini, J.;Viswanathan, P.N.;Trevena, Lyndal J.
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.8
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    • pp.4169-4172
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    • 2012
  • Background: The majority of women in rural India have poor or no access to cervical cancer screening services, although one.quarter of all cervical cancers in the world occur there. Several large trials have proven the efficacy of low-tech cervical cancer screening methods in the Indian context but none have documented the necessary components and processes of implementing this evidence in a low-resource setting. Methods: This paper discusses a feasible model of implementation of cervical cancer screening programme in low-resource settings developed through a pilot research project carried out in rural Tamilnadu, India. The programme used visual inspection of cervix after acetic acid application (VIA) as a screening tool, nurses in the primary care centres as the primary screeners and peer educators within Self-Help Women groups to raise community awareness. Results: The uptake of screening was initially low despite the access to a screening programme. However, the programme witnessed an incremental increase in the number of women accessing screening with increasing community awareness. Conclusions: The investigators recommend 4 key components to programme implementation in low-resource setting: 1) Evidence-based, cost-effective test and treatment available within the reach of the community; 2) Appropriate referral pathways; 3) Skilled health workers and necessary equipment; and 4) Optimisation of health literacy, beliefs, attitudes of the community.