• Title/Summary/Keyword: Pre-Screening

검색결과 252건 처리시간 0.034초

Relative Frequency of Oral Malignancies and Oral Precancer in the Biopsy Service of Jazan Province, 2009-2014

  • Idris, AM;Vani, NV;Saleh, Sanna;Tubaigy, Faisal;Alharbi, Fahd;Sharwani, Abubkr;Tadrus, Nabil;Warnakulasuriya, Saman
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권2호
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    • pp.519-525
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    • 2016
  • Background: The objective of this study was to report the types and relative frequency of oral malignancies and precancer in the Jazan region of Saudi Arabia during the period 2009-2014. Materials and Methods: Pathology reports were retrieved from the archives of Histopathology Department, King Fahd hospital in Jazan. Demographic data on tobacco habits, clinical presentation and histologic grading of oral precancer and cancer cases were transcribed from the files. Results: 303 (42.7%) oral pre-malignant and malignant cases were found out of 714 oral biopsy lesions. A pathology diagnosis of squamous cell carcinoma (85.1%) was most frequent, followed by premalignant lesions/epithelial dysplasia (8.6%), verrucous carcinoma (3.3%) and malignancy of other histological types (3%) such as ameloblastic carcinoma, salivary gland malignancy and sarcomas. Oral squamous cell carcinoma was predominant in females with a male to female ratio of 1:1.9. Patient age ranged from 22 to 100 years with a mean of $65{\pm}13.9$. Almost 44.6% of oral cancer had occurred after 65 years of age. Only 16.3% cases were reported in patients younger than 50 years, predominantly females. The majority of female patients had the habit of using shammah with a long duration of usage for more than 45 years. Buccoalveolar mucosa (52.3%) was the common site of involvement followed by tongue/floor of the mouth (47.7%) and clinically presented mostly as ulceration/swelling clinically. Moderately differentiated tumours (53.9%) were common followed by well differentiated (32.2%) and poorly differentiated tumours (5.8%). The prevalence of oral verrucous carcinoma (3.3%) was comparatively low with an equal distribution in both males and females. Both bucco-alveolar mucosa and tongue were predominantly affected. Oral precancer/epithelial dysplasia (8.6%) was common in females with a shammah habit. Bucco-alveolar mucosa was commonly involved and clinically presented mostly as white/red patches. Most cases were mild followed by moderate and severe dysplasia. Tumours of other histological types (3%) include 1 ameloblastic carcinoma, 3 malignant salivary gland tumours and 5 sarcomas. Conclusions: In this study, it was found that oral cancers reported in the pathology service to be a common occurrence. This study reconfirms previous reports of the high burden of oral cancer in this population This indicates that conventional preventive programs focused on oral cancer are in need of revision. In addition, further research into identifying new risk factors and molecular markers for oral cancer are needed for screening high risk individuals.

픽셀 단위 컨볼루션 네트워크를 이용한 복부 컴퓨터 단층촬영 영상 기반 골전이암 병변 검출 알고리즘 개발 (Development of Bone Metastasis Detection Algorithm on Abdominal Computed Tomography Image using Pixel Wise Fully Convolutional Network)

  • 김주영;이시영;김규리;조경원;유승민;소순원;박은경;조백환;최동일;박훈기;김인영
    • 대한의용생체공학회:의공학회지
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    • 제38권6호
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    • pp.321-329
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    • 2017
  • This paper presents a bone metastasis Detection algorithm on abdominal computed tomography images for early detection using fully convolutional neural networks. The images were taken from patients with various cancers (such as lung cancer, breast cancer, colorectal cancer, etc), and thus the locations of those lesions were varied. To overcome the lack of data, we augmented the data by adjusting the brightness of the images or flipping the images. Before the augmentation, when 70% of the whole data were used in the pre-test, we could obtain the pixel-wise sensitivity of 18.75%, the specificity of 99.97% on the average of test dataset. With the augmentation, we could obtain the sensitivity of 30.65%, the specificity of 99.96%. The increase in sensitivity shows that the augmentation was effective. In the result obtained by using the whole data, the sensitivity of 38.62%, the specificity of 99.94% and the accuracy of 99.81% in the pixel-wise. lesion-wise sensitivity is 88.89% while the false alarm per case is 0.5. The results of this study did not reach the level that could substitute for the clinician. However, it may be helpful for radiologists when it can be used as a screening tool.

미국의 탐정제도에 관한 연구 (A Study on the Private Investigator System in U.S.A.)

  • 강영숙;김태환
    • 시큐리티연구
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    • 제12호
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    • pp.25-50
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    • 2006
  • 급진적인 사회변화에 따른 각종 범죄 증가로부터 개인의 안전욕구와 재산 및 권익보호에 대한 치안수요 증가는 전체적인 시큐리티의 필요성을 더욱 증대시키고 있는데, 특히 그 가운데에서도 의뢰인을 위한 민간차원의 전문적인 조사, 정보획득 활동을 통해 진실여부를 파악하고, 개인, 기관 및 기업 등의 조직체의 신용조사를 통해 신용불량자 및 사기범죄를 예방하는 간접적인 치안 활동을 수행하는 공인탐정제도와 같은 민간영역(Private Sector)의 치안서비스는 외국에서는 이미 사회적 치안수요 해결이라는 중요한 일부를 담당하고 있다. 따라서 본 연구는 탐정제도가 가장 발달된 미국의 탐정제도의 역사적 배경과 운용실태를 파악해 봄으로써 추후 한국 실상에 맞는 공인탐정제도 도입 후 국민의 인권보호, 국가경제 및 사회발전에 기여하고, 사생활 침해 등의 부작용을 최소화하는 발전적인 방안 및 세부적인 대안을 위한 학문적 자료를 제공하는데 있다. 이에 본 연구는 다음과 같은 결론을 도출할 수 있다. 첫째, 미국뿐만 아니라 우리나라를 비롯한 국제사회의 탐정업에 대한 계속적인 수요와 고용 등의 급속한 증가 추세로 탐정제도와 그 직업적 전망은 매우 밝다. 둘째, 수익자 부담원칙에 의한 민간영역을 활용한 국민의 치안서비스 해결이라는 관점에서 국가의 치안서비스 부담은 감소되었지만 탐정업무 상 개인의 인권과 사생활 침해 등의 불법영역에 대해 미국 각 주(State)의 탐정협회가 교육을 통한 자각과 교육프로그램도 있지만, 미국 대부분의 주(State)들은 점점 탐정법 규정을 강화하고 있다. 셋째, 아직 우리나라의 탐정제도가 시행되지는 않고 있지만 추후 제도 실시에 따른 법률 규정의 계속적인 수정 보완과 제도정착 및 발전 등에 관한 세부적인 사항을 위해선 미국 뿐 아니라 다른 외국의 세부적 탐정제도의 계속적인 연구가 더욱 필요하다. 본 연구는 방대한 미국의 전체적인 탐정제도 내용을 다룰 수가 없음을 한계로 제시하였으며 우리나라 탐정제도의 실행에 앞서 계속적인 후속 연구로 보완하고자 한다.

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Development and Evaluation of a Patient-Reported Outcome (PRO) Scale for Breast Cancer

  • Zhang, Jun;Yao, Yu-Feng;Zha, Xiao-Ming;Pan, Li-Qun;Bian, Wei-He;Tang, Jin Hai
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권18호
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    • pp.8573-8578
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    • 2016
  • Background: This study was guided by principles of the theoretical system of evidence-based medicine. In particular, when searching for evidence of breast cancer, a measuring scale is an instrument for evaluating curative effects in accordance with the laws and characteristics of medicine and exploring the establishment of a system for medically assessing curative effects. At present, there exist few tools for evaluating curative effects. Patient-reported outcomes (PROs) refer to outcomes directly reported by patients (without input or explanations from doctors or other intermediaries) with respect to all aspects of their health. Data obtained from PROs provide evidence of treatment effects. Materials and Methods: In accordance with the tenets of theoretical medicine and ancient medical theory regarding breast cancer, principles for developing a PRO scale were established, and a theoretical model was developed and a literature review was performed, items from this pool were combined and split, and an initial scale was constructed. After a pilot survey and additional modifications, a pre-questionnaire scale was formed and used in a field investigation. After the application of statistical methods, the item pool was used to create a formal scale. The reliability, validity and feasibility of this formal scale were then assessed. Results: In a clinical investigation, 479 responses were recovered, with an acceptance rate of 95%. a combination of various methods was employed, and the items that were selected by all methods or more than half of the methods were employed in the questionnaire. In these cases, the screening methods were combined with certain features of the item, A total of four domains and 38 items were reserved. The reliability analysis indicated that the PRO scale was relatively reliable. Conclusions: Scientific assessment proved that the proposed scale exhibited good reliability and validity. This scale was readily accepted and could be used to assess the curative effects of medical therapy. However, given the limited scope of this investigation, the capacity for adapting this scale to incorporate other theories could not be determined.

통계적 사전 처리방법을 통한 MT 전달함수 추정의 향상 기법 연구 (An improvement of MT transfer function estimates using by pre-screening scheme based on the statistical distribution of electromagnetic fields)

  • 양준모;권병두;이덕기;송윤호;윤용훈
    • 한국지구물리탐사학회:학술대회논문집
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    • 한국지구물리탐사학회 2005년도 공동학술대회 논문집
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    • pp.273-280
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    • 2005
  • MT 전달함수의 추정과정에서 로버스트 방법의 적용은 현재 전자탐사 분야에서 일반적이다. 적절하게 고안되고 적용된 로버스트 방법은 출력 채널인 전기장에 포함되어 있는 외치의 영향을 감소시킬 수 있으나, HLP(High leverage point)라 불리 우는 자기장(입력 채널)의 외치에 종종 민감하지 못하다. 이 문제를 해결하기 위해 HLP의 영향을 최소화할 수 있는 BI(Bounded Influence) 추정이 제안되었고, 전통적인 로버스트 방법보다 신뢰성 있는 전달함수를 제공하는 것으로 보고되었다. 이는 BI 추정이 M-추정을 적용함과 동시에 자기장 성분만으로 결정되는 모자행렬의 통계적인 특성을 고려하여 가중치를 부여하는 방법이기 때문이다. 본 연구에서는 전달함수 추정과정에 BI 추정을 적용하고, 이와 더불어 전처리 단계로서 전자기장의 통계적 분포를 이용해 주파수 영역에서 극단적인 전기장과 자기장 자료의 영향을 감소시키는 기법을 개발하였다. 개발된 전처리 기법은 BI 추정으로 제거될 수 없는 자료를 주파수 영역에서 효과적으로 제거하는 것으로 생각된다. 본 연구에서 개발된 기법의 효율성과 장점은 합성 자료와 현장 자료를 이용하여 도시될 것이다.

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재난 시 소아청소년 정신건강 평가 및 치료의 주요 요소: 전문가 델파이 예비 조사 (The Major Elements of Psychological Assessment and Intervention for Children and Adolescents after a Disaster: A Professional Delphi Preliminary Survey)

  • 박장호;이미선;장형윤;황준원;이주현;김지연;이철순;김은지;배승민;방수영
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제27권3호
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    • pp.164-172
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    • 2016
  • Objectives: This study attempted to evaluate the usefulness and direction of development of post-traumatic assessment and interventions based on the opinions of psychiatrics and disaster and trauma-related experts using the Delphi survey technique. Methods: In-depth individual interviews served as the pre-survey and were followed by Delphi primary and secondary surveys. Specialists in child and adolescent mental health, psychological support professionals specialized in disasters and related practitioners with experience of disasters in Korea completed a set of questionnaires and participated in focus group interviews and in-depth individual interviews on post-traumatic assessment and intervention. Results: We found that the following issues have a significant impact on the interventions after disasters: the proper time of the initial interview in the event of a disaster, assessment notices, aged assessment services, mandatory enforcement measures, scale screening and treatment intervention elements, symptoms degree classification, intervention standardization, the use of a levelled program, care unit environment, and operation plan. Conclusion: This study proposed effective mental health intervention measures and has implications for the development of evaluation treatment protocols after disasters.

Nurses and Television as Sources of Information Effecting Behavioral Improvement Regarding Liver Flukes in Nakhon Ratchasima Province, Thailand

  • Kaewpitoon, Soraya J;Kaewpitoon, Natthawut;Rujirakul, Ratana;Wakkuwattapong, Parichart;Matrakul, Likit;Tongtawee, Taweesak;Loyd, Ryan A;Norkaew, Jun;Kujapun, Jirawoot;Chavengkun, Wasugree;Ponphimai, Sukanya;Polsripradist, Poowadol;Eksanti, Thawatchai;Phatisena, Tanida
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권3호
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    • pp.1097-1102
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    • 2016
  • Background: Liver fluke infection with Opisthorchis viverrini and its associated cholangiocarcinoma constitute a serious problem in Thailand. Healthy behavior can decrease infection, therefore, the investigation of knowledge, attitude, and practice is need required in high risk areas. Objective: This study aimed to investigate the behavior and perceptions regarding liver fluke. Materials and Methods: A cross-sectional descriptive study was conducted in Chum Phuang district of Nakhon Ratchasima province, Thailand during July to November 2015. A total 80 participants who had screened with verbal screening test, stool examination, and ultrasonography, were purposive selected and completed a pre-designed questionnaire (Kruder-Richardon-20=0.80, Cronbach's alpha coefficient=0.82 and 0.79). T-test, ANOVA, and Pearson correlation test were used for analyzed data. Results: The results reveal that O. viverrini infection was 1.25%, and 3 patients had a dilated bile ducts. The participants had a high knowledge, attitude, and practice regarding liver fluke. The education, occupation, and income, were statistical significant to attitude regarding liver fluke. Nurses and television were the main sources of information regarding liver fluke, with statistical significance(p-value <0.05). Knowledge was significantly associated with attitude and practice (p-value<0.05). Conclusions: Participants had good behavior regarding liver fluke. Improvement of knowledge and attitude is influenced to practical change regarding this carcinogenic fluke. In addition, nurse and television are the main information resources for key success in increasing people perception for disease prevention and control in this area.

과체중과 비만 여성의 HbA1c 지표에 따른 당뇨병 예방을 위한 영양상담의 효과 (Benefits of Nutrition Consultation for Preventing Diabetes According to HbA1c Levels in Overweight and Obese Women)

  • 권용진;선우섭;문황운;박유경
    • 대한영양사협회학술지
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    • 제19권2호
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    • pp.112-123
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    • 2013
  • HbA1c was recently adopted as a reliable indicator for screening diabetes. This study investigated the ability of nutrition consultation to prevent diabetes in overweight women (BMI 23 $kg/m^2$ or more) using HbA1c as an indicator. Twenty overweight and obese women (with $HbA1c{\geq}5.7$%) completed the 12-week nutritional study, with individual and personalized nutrition counseling performed every 2 weeks. The main study guidelines involved the following: 1) reducing the intake of high fat foods and alcohol, 2) consuming a large amount of vegetables, 3) reducing the intake of simple sugars and empty-calorie foods, and 4) increasing physical activity to ${\geq}30$ min/day. Anthropometric (height, weight, BMI, body muscle (kg), body fat (%), waist and hip circumference, blood pressure) and biochemical parameters (fasting blood sugar (FBS), HbA1c, lipid profiles, hs-CRP) were measured before and after the nutrition consultation. After 12 weeks, the HbA1c<5.7% group had significant decreases in BMI, WC, HC, WHR, HbA1c, hs-CRP and also dietary intake of energy (P<0.01), carbohydrates, lipids (P<0.01), proteins (P<0.01) and cholesterol was significantly decreased (P<0.05). In the HbA1c ${\geq}5.7$% group, HbA1c, TC, LDL, NON-HDL, hs-CRP and dietary intake of energy, carbohydrate, lipid, protein, and cholesterol significantly decreased (P<0.05). These results suggest that nutrition consultation effectively helps to prevent diabetes in overweight and obese women after applying HbA1c standards. Overall, the improvement in all markers measured suggest that HbA1c is a good indicator for blood glucose regulation, helping to prevent diabetes.

의료용 방사성폐기물 자체처분 가이드라인에 관한 고찰 (Discussion about the Self Disposal Guideline of Medical Radioactive Waste)

  • 이경재;설진형;이인원;박영재
    • 핵의학기술
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    • 제21권2호
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    • pp.13-27
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    • 2017
  • 국내 의료용 방사성폐기물 자체처분과 관련하여 심사과정에서 많은 보완을 거치게 되고, 이 과정을 통과함에 많은 어려움을 겪고 있다. 이에 따라 의료용 방사성폐기물의 자체처분시 기본적인 가이드라인을 제시함으로써 의료기관의 방사성 폐기물 처리효율을 높이고자 한다. 2015년부터 2016년까지 국내 15개 의료기관의 의료용 방사성폐기물 자체처분 절차서 및 계획서 작성 시 보완 요청된 사항들을 비교 검토하였으며, 이와 관련하여 원자력 안전법 관련 규정을 기준으로 방사성폐기물 자체처분 시 서류작성에 필요한 세부 작성안 들을 도출하였다. 한국원자력안전기술원의 대표적인 보완요청사항들로는 비가연성 폐기물의 처분방법, 자체처분 예정 폐기물의 저장방법, 폐기물 자체처분의 정당성 및 자체처분 전 조치사항, 배기필터의 기준방사능 및 보관기간 산출, 폐기물 수량 측정 용기 보유 여부 및 증빙자료, 감마카운터 사용 시 측정효율 증명자료 첨부임을 확인할 수 있었다. 또한 의료 방사성 폐기물 자체처분 가이드라인 구축을 통해 방사성동위원소 핵종 및 발생유형별 분류기준 등을 명확히 제시하였다. 이를 통해, 자체처분 서류 작성에 따른 시간의 단축과 업무대행 지출비용이 발생되지 않음을 확인할 수 있었고 방사성 폐기물의 장기간 보관에 따른 보관시설의 저장효율이 좋아지고 경제적 비용도 절감됨을 알 수 있었다. 본 가이드라인을 바탕으로 방사성폐기물 자체처분의 실무적인 어려움을 겪고 있는 관계자들의 업무효율 향상에 기여할 것으로 사료된다.

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참취(Aster scaber Thunb.) 추출물의 항산화 효과와 3T3-L1 지방전구세포에서의 지방분화 억제 효과 (Antioxidant Activity and Inhibitory Effect of Aster scaber Thunb. Extract on Adipocyte Differentiation in 3T3-L1 Cells)

  • 최준혁;박윤희;이인선;이삼빈;유미희
    • 한국식품과학회지
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    • 제45권3호
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    • pp.356-363
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    • 2013
  • 최근 연구에서 활성 산소 및 비만에 대한 유전자 발현이 비만과 노화를 촉진시키는 원인으로 주목 받고 있으며, 이를 통해 노화와 비만의 억제 체계를 규명하려는 다양한 방법들이 연구되고 있다. 본 연구에서는 우리나라 전국 각지의 산야지에 자생하며 농가에서 재배하기도 하는 국화과에 속하는 식물인 참취(Aster scaber Thunb.) 메탄올 추출물의 항산화력과 3T3-L1 전구지방세포의 지방세포형성과정에 미치는 영향을 확인하였다. 참취 메탄올 추출물에 존재하는 총 폴리페놀 및 플라보노이드 함량은 각각 $57.07{\pm}2.17$, $54.62{\pm}2.24{\mu}g/mg$으로 나타났다. 시료의 DPPH, ABTS radical 소거 활성을 측정한 결과 $RC_{50}$값이 각각 $22.24{\pm}0.40$, $53.19{\pm}1.61{\mu}g/mL$로 우수한 항산화 효과를 나타냈다. 참취의 메탄올 추출물이 3T3-L1 전구지방세포에서 분화유도 물질(IBMX, DEXA, Insulin)과 함께 처리했을 때 지방구의 형성을 농도 의존적으로 감소시켰다. 또한 이들은 지방세포의 증식 및 분화되는 과정에서 발현되는 adipogenic transcription factor 및 관련 유전자의 단백질 발현과 mRNA 발현을 유의적으로 감소시키는 것을 확인하였다. 이상의 결과로 참취 메탄올 추출물을 이용하여 항비만에 우수한 효능을 가지는 기능성 식품 소재로서의 개발이 가능할 것으로 생각된다.