• Title/Summary/Keyword: 선별 검사

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Reevaluation of the Neonatal Screening Test for Congenital Hypothyroidism (선천성 갑상선기능저하증에 대한 신생아 선별검사의 재평가)

  • Kang, So Young;Chang, Young Pyo;Yu, Jeesuk
    • Clinical and Experimental Pediatrics
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    • v.48 no.4
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    • pp.387-394
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    • 2005
  • Purpose : We performed this study to compare the TSH and free $T_4$ levels according to gestational age and birth weight, and to reevaluate the cut-off values in the neonatal screening test for congenital hypothyroidism. Methods : Total 2,133 neonates(1,749 healthy newborns and 384 sick neonates) were screened in Dankook University Hospital from May 2000 to January 2003. Neonates with abnormal TSH values (higher than $20{\mu}IU/mL$) or abnormal free $T_4$ levels(lower than 1 ng/dL) were recalled to recheck the thyroid function test. At that time, physical examinations and history-taking regarding perinatal problem, medication history, and mother's illness were undertaken. Results : Serum TSH and free $T_4$ values revealed no significant difference according to sex, delivery type, and Apgar score. The free $T_4$ levels showed statistically significant differences, with gestational age or birth weight(P<0.01). The recall rate of neonates due to abnormal screening test was 7.48 percent. Compared with original cut-off values, the recall rate of the new cut-off values setted to TSH higher than $20{\mu}IU/mL$ or free $T_4$ lower than 0.64 ng/dL decreased from 7.48 percent to 4.8 percent in the healthy group. But, it compromised sensitivity when applied to the sick group. Conclusion : In this study, neonatal free $T_4$ levels were significantly different according to birth weight, gestational age, and the presence of compromised condition. Although the recall rate by TSH > $20{\mu}IU/mL$ or free $T_4$ <1 ng/dL was relatively high, it was impossible to set up new cut-off values without compromising sensitivity. We think studies including a larger study population will be required to change the cut-off values.

System Development of Selection for Oil Ring Product Using DCT (DCT를 이용한 오일 바킹제품의 선별 시스템 개발)

  • 김석현;황병곤
    • Proceedings of the Korea Society for Industrial Systems Conference
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    • 2002.06a
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    • pp.348-352
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    • 2002
  • 자동차의 바킹류 및 방음고무는 자동차의 소음 및 오일등 각종유액의 누설의 대부분을 차지하고 있기 때문에 자동차의 생명연장에 필수적인 부품이다. 현재까지 선별시스템의 고가로 인해서 대부분의 선별이 수작업으로 이루어져 왔다. 이는 피로누적에 의한 오류가 많을 수 있고 제품의 신뢰도에 치명적일 수 있다. 선별 시스템을 완전 자동화 하므로서 공정개선 및 인건비 절감, 신뢰도 개선의 효과가 있다. 이 연구는 앞으로 이들 고무 제품의 검사 장비의 자동화를 이루는 기반을 만든다고 할 수 있다. 특히 컨베이어 벨트를 타고 흐르는 부품을 제어하는 부분과, 움직이는 물체의 타이밍을 설계하여 영상획득하여 내부 불량 제품에 DCT를 적용하여 선별시스템을 만들었다.

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System Development of Selection for Oil Ring Product Using DCT (DCT를 이용한 오일 바킹제품의 선별 시스템 개발)

  • 김석현;황병곤
    • Proceedings of the Korea Multimedia Society Conference
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    • 2002.05c
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    • pp.240-244
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    • 2002
  • 자동차의 바킹류 및 방음고무는 자동차의 소음 및 오일둥 각종유액의 누설의 대부분을 차지하고 있기 때문에 자동차의 생명연장에 필수적인 부품이다. 현재까지 선별시스템의 고가로 인해서 대부분의 선별이 수작업으로 이루어져 왔다. 이는 피로누적에 의한 오류가 많을 수 있고 제품의 신뢰도에 치명적일 수 있다. 선별 시스템을 완전 자동화 하므로서 공정개선 및 인건비 절감, 신뢰도 개선의 효과가 있다. 이 연구는 앞으로 이들 고무 제품의 검사 장비의 자동화를 이루는 기반을 만든다고 할 수 있다. 특히 컨베이어 벨트를 타고 흐르는 부품을 제어하는 부분과, 움직이는 물체의 타이밍을 설계하여 영상획득하여 내부 불량 제품에 DCT를 적용하여 선별시스템을 만들었다.

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The ages and stages questionnaire: screening for developmental delay in the setting of a pediatric outpatient clinic (ASQ :소아과외래에서의 발달지연 선별검사)

  • Kim, Eun Young;Sung, In Kyung
    • Clinical and Experimental Pediatrics
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    • v.50 no.11
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    • pp.1061-1066
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    • 2007
  • Purpose : Early identification of developmental disabilities allows intervention at the earliest possible point to improve the developmental potential. The Ages and Stages Questionnaire (ASQ), a parent- completed questionnaire, can be used as a substitute for formal screening tests. The purpose of this study was to evaluate the validity of the Korean version of the ASQ (K-ASQ) as a screening tool for detecting developmental delay of young Korean children in the setting of a busy pediatric outpatient clinic. Methods : Parents completed the K-ASQ in the waiting room of the pediatric outpatient clinic of St. Mary's Hospital, Catholic University Medical College. Out of 150 completed the ASQ, 67 who were born term and had no previous diagnosis of developmental delay, congenital anomalies, or neurological abnormalities were enrolled. The cut-off values of less than 2 standard deviations (SD) below the mean for the ASQ were used to define a "fail", and children who failed in one or more domains tested were classified as "screen-positive". Diagnosis of developmental delay was made when the developmental indices fell below -1 SD of the Bayley Scales of Infant Development-II. Results : (1) The mean age of children was $16.4{\pm}7.4$ months. Ten children (14.9%) were small-for- gestational age infants. The mean birth weight and gestational age were $3.1{\pm}0.6kg$ and $38.8{\pm}1.4$ weeks. Nine children (13.4%) were twins and 33 (49.0%) were male. The mean maternal education in years was $13.6{\pm}2.4$, and 31.3% had full-time jobs. The time for completing the ASQ was $10.2{\pm}3.0$ minutes. (2) Seventeen children (25.4%) were classified as screen-positive, four of them were delayed in development. Among eight children diagnosed with developmental delay, four were screen-positive and the other four were screen-negative by the ASQ. (3) The test characteristics of the ASQ were as follows: sensitivity (50.0%); specificity (78.0%); positive predictive value (23.5%); negative predictive value (92.0%). Conclusion : The high negative predictive value of the K-ASQ supports its use as a screening tool for developmental delay in the setting of a pediatric outpatient clinic.

Evaluation for the Usefulness of Automated Blood Typing Analyzer (혈액은행 자동화 장비 도입의 유용성 평가)

  • Kim, Ha-na;Kim, Hee-Bum;Park, Hyun-Sang;Lee, Hyun-Im;Hong, Myung-Kook;Shin, Gyoung-Sook;Suh, In-Bum
    • The Journal of the Korea Contents Association
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    • v.19 no.6
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    • pp.565-574
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    • 2019
  • In this study, we evaluated the usefulness of an automatic blood typing analyzer using QWALYS-2 up (Diagast, Loos Cedex, France). During a month( 01OCT2013 - 31OCT2013) we performed 1,636 tests for ABO & RhD blood typing, 1,374 tests for antibody screen & identification tests and compared the results by automatic blood type analyzer with previous manual methods and column agglutination tests. And we analyzed the economic performance by comparison the test unit price between automatic blood type analyzer and manual methods. In ABO & RhD blood typing tests, there were complete concordances between manual and automated blood typing analyzer for 200 clinical samples. In Antibody screen tests, the concordance rate between manual and automated blood typing analyzer was 98.5% and more strong reaction in automated blood typing analyzer than manual methods. Therefore, the introduction of an automated blood typing analyzer, reagents costs were increased but labor costs were decreased. Considering the importance of transfusion safety and economic advantages, the introduction of an automated blood typing analyzer was very useful.

A Study on Assessment of Personality Test using Data Mining (데이터 마이닝을 이용한 신인성검사 판정 연구 - 복무적합도검사를 중심으로 -)

  • Park, YoungGill;In, Hoh Peter;Kim, Nunghoe;Lee, Jungbin
    • Proceedings of the Korea Information Processing Society Conference
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    • 2012.11a
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    • pp.1373-1376
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    • 2012
  • 복무적합도 검사는 정신질환이나 사고가능성이 있는 병사를 감별하고, 입대 후 적응문제로 조기 전역할 수 있는 집단을 예측하는 신인성검사 중 하나로, 현재 군에서 징병 및 입영단계에 실시하는 인성검사이다. 이는 전체 검사대상자를 상대로 정신과적 문제 식별을 위한 개별면담이 불가능하기 때문에 위 검사를 통해 대상자를 효율적으로 선별하기 위함이다. 본 연구는 데이터 마이닝을 통해 복무적합도 검사의 판정을 예측 할 수 있을지 확인하고자 하였다. 이를 위해 데이터 마이닝의 기법 중 회귀분석의 로지스틱 회귀분석 기법이 복무적합도검사 판정에 우수한 성능을 보임을 확인하였고, 로지스틱 회귀분석의 추정된 회귀계수를 이용하여 만든 반응확률에 대한 예측 모형식은 높은 정분류율을 보였고 평가 결과 통계적으로 의미가 있음을 증명하였다. 따라서 본 연구 결과를 활용하면 소수의 문항으로 복무적합도 검사 이전의 선별용 검사 개발이나 자가 진단용 검사 개발로 활용이 가능 할 것으로 기대한다.

Development of On-line Sorting System for Detection of Infected Seed Potatoes Using Visible Near-Infrared Transmittance Spectral Technique (가시광 및 근적외선 투과분광법을 이용한 감염 씨감자 온라인 선별시스템 개발)

  • Kim, Dae Yong;Mo, Changyeun;Kang, Jun-Soon;Cho, Byoung-Kwan
    • Journal of the Korean Society for Nondestructive Testing
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    • v.35 no.1
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    • pp.1-11
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    • 2015
  • In this study, an online seed potato sorting system using a visible and near infrared (40 1100 nm) transmittance spectral technique and statistical model was evaluated for the nondestructive determination of infected and sound seed potatoes. Seed potatoes that had been artificially infected with Pectobacterium atrosepticum, which is known to cause a soil borne disease infection, were prepared for the experiments. After acquiring transmittance spectra from sound and infected seed potatoes, a determination algorithm for detecting infected seed potatoes was developed using the partial least square discriminant analysis method. The coefficient of determination($R^2_p$) of the prediction model was 0.943, and the classification accuracy was above 99% (n = 80) for discriminating diseased seed potatoes from sound ones. This online sorting system has good potential for developing a technique to detect agricultural products that are infected and contaminated by pathogens.

Cloud-Based Reservation and Notification System for Efficient Testing of Infectious Diseases (효율적인 감염병 검사 예약을 위해 클라우드에 기반한 예약 및 알림 시스템)

  • Je-Seong Hwangbo;Ho-Yoon Kim;Seung-Soo Shin
    • Journal of Industrial Convergence
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    • v.21 no.1
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    • pp.67-76
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    • 2023
  • COVID-19, which occurred in 2019, has a strong contagious power, has serious symptoms of infection and after-effects, and death in severe cases depending on the underlying disease and symptoms. As COVID-19 is highly contagious, in Korea, screening clinics have been set up across the country to determine whether or not to be positive for COVID-19 and isolate the infected to prevent the spread of COVID-19. However, there are cases where COVID-19 test applicants flock to screening clinics and cannot receive tests due to longer waiting times, and there is a risk that secondary infections may occur in the atmosphere. In this study, the reservation and notification system can be applied from the existing screening care system to solve spatial constraints, reducing waiting time with screening appointments, and solving population bottlenecks to screening clinics. Taking the COVID-19 pandemic as an experience, we propose a system that can present directions in future pandemic situations. To process real-time data, we use Google's Firebase to use Realtime Database in the cloud environment. Because a real-time database is used, users can check the status of screening clinics in real time through the app, make reservations, and receive notifications about test reservations.

Comparison of Fisher's Auditory Problems Checklist (FAPC) and Scale of Auditory Behaviors (SAB) in Screening Central Auditory Processing Disorders (중추청각처리장애 선별도구로서의 Fisher's 청각행동문제 체크리스트(FAPC)와 청각행동특성척도(SAB)의 비교 연구)

  • Yoon, Min Ho;Jang, Hyun Sook
    • 재활복지
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    • v.18 no.4
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    • pp.257-277
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    • 2014
  • The purpose of this study was to observe auditory processing skills in school-age children using Fisher's Auditory Problem Checklist(FAPC; Fisher, 1976) and Scales of Auditory Behaviors(SAB; Shiffman, 1999) in order to provide a basis for clinical application in screening central auditory processing disorders(CAPD) in Korea. Korean translated version of FAPC and SAB were given to the parents or care givers of 233 students from grades 1~6. As a result of testing FAPC, the average score for all grades showed 91.87(${\pm}7.93$) points, with grade point average score falling in 90.13~93.67 range and no significant differences among grades. For SAB, the average score for all grades showed 53.44(${\pm}5.09$), with grade point average score falling in 51.78~55.44 range and also no significant differences among grades. Significant correlations between FAPC and SAB were shown in all and within grade levels. There showed to be 22 children(9.9%) in -1 SD at risk criteria, with 13 male students(12%) and 9 female students(7.8%) for both FAPC and SAB. In applying FAPC and SAB clinically to school-age children, these two tests showed to have a significant correlation, but because of different characteristics due to the small number of children in the common risk range, diagnostic testing/rehabilitation plan based on screening and auditory behavior characteristics is recommended to be conducted complementarily to one another.

Use of Coronary CT Angiography as a Screening Tool for Coronary Artery Disease in Asymptomatic Healthy Individuals or Patients (무증상 정상인 또는 환자의 관상동맥 질환 선별 검사로서 관상동맥 전산화단층촬영 혈관조영술의 유용성)

  • Gong Yong Jin
    • Journal of the Korean Society of Radiology
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    • v.83 no.1
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    • pp.54-69
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    • 2022
  • Early detection of potential asymptomatic coronary artery disease is very important, as patients with sudden cardiac death often do not show symptoms such as chest pain or motor dyspnea. Coronary CT angiography (CCTA) has long been unjustified as a screening tool for asymptomatic patients because of the risks posed by radiation exposure. However, there are still various opinions regarding the usefulness of CCTA for screening for coronary artery disease (CAD) in asymptomatic healthy individuals or patients. This review investigated the usefulness of coronary artery calcium score and CCTA as screening tests for CAD in asymptomatic healthy individuals or patients through various literature reviews. With the development of CT technology, recent studies have been conducted in asymptomatic CAD patients with a reduced radiation dose of less than 1 mSv. A total of 2.6% of asymptomatic subjects on CCTA found significant CAD over 70%, and it was concluded that screening CCTA for CAD showed prognostic power in predicting the future occurrence of CAD in asymptomatic people. However, after the completion of the current NIH SCOT-HEART 2 study, it may be possible to determine whether CCTA is appropriate as a screening tool for CAD in asymptomatic healthy individuals.