• Title/Summary/Keyword: Screening Procedures

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Evaluation of Provider Skills in Performing Visual Inspection with Acetic Acid in the Cervical Cancer Screening Program in the Meknes-Tafilalet Region of Morocco

  • Selmouni, Farida;Sauvaget, Catherine;Zidouh, Ahmed;Plaza, Consuelo Alvarez;Muwonge, Richard;Rhazi, Karima El;Basu, Partha;Sankaranarayanan, Rengaswamy
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.9
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    • pp.4313-4318
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    • 2016
  • Background: This study documented the performance of providers of visual inspection with acetic acid (VIA) at primary health centers, assessing their compliance with the VIA skills checklist and determinants of non-compliance, and exploring their perceptions of VIA training sessions. Materials and Methods: A cross-sectional study was conducted among VIA providers in the $Mekn\grave{e}s$-Tafilalet region of Morocco. Structured observation of their performance was conducted through supervisory visits and multiple focus group discussions (FGDs). Results: Performance of all the recommended steps for effective communication was observed in a low proportion of procedures (36.4%). Midwives/nurses had higher compliance than general practitioners (GPs) (p<0.001). All recommended steps for VIA examination were performed for a high proportion of procedures (82.5%). Compliance was higher among midwives/nurses than among GPs (p<0.001) and among providers in rural areas than those in urban areas (p<0.001). For pre-VIA counselling, all recommended steps were performed for only 36.8% of procedures. For post-VIA counseling, all recommended steps were performed in a high proportion (85.5% for VIA-negative and 85.1% for VIA-positive women). Midwives/nurses had higher compliance than GPs when advising VIA-positive women (p=0.009). All infection prevention practices were followed for only 14.2% of procedures, and compliance was higher among providers in rural areas than those in urban areas (p<0.001). Most FGD participants were satisfied with the content of VIA training sessions. However, they suggested periodic refresher training and supportive supervision. Conclusions: Quality assurance of a cervical cancer screening program is a key element to ensure that the providers perform VIA correctly and confidently.

Barriers to Breast and Cervical Cancer Screening in Singapore: a Mixed Methods Analysis

  • Malhotra, Chetna;Bilger, Marcel;Liu, Joy;Finkelstein, Eric
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.8
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    • pp.3887-3895
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    • 2016
  • Background: In order to increase breast and cervical cancer screening uptake in Singapore, women's perceived barriers to screening need to be identified and overcome. Using data from both focus groups and surveys, we aimed to assess perceived barriers and motivations for breast and cervical cancer screening. Materials and Methods: We conducted 8 focus groups with 64 women, using thematic analysis to identify overarching themes related to women's attitudes towards screening. Based on recurring themes from focus groups, several hypotheses regarding potential barriers and motivations to screen were generated and tested through a national survey of 801 women aged 25-64. Results: Focus group participants had misconceptions related to screening, believing that the procedures were painful. Cost was an issue, as well as efficacy and fatalism. Conclusions: By identifying barriers to and motivators for screening through a mixed-method design that has both nuance and external validity, this study offers valuable suggestions to policymakers to improve breast and cervical cancer screening uptake in Singapore.

An Off-site Screening Process for the Public in Radiation Emergencies and Disasters

  • Yoon, Seokwon;HA, Wi-Ho;Jin, Young-Woo
    • Journal of Radiation Protection and Research
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    • v.41 no.3
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    • pp.301-309
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    • 2016
  • Background: A contamination screening process for the local population in radiation emergencies is discussed. Materials and Methods: We present an overview of the relevant Korean governmental regulations that underpin the development of an effective response system. Moreover, case studies of foreign countries responding to mass casualties are presented, and indicate that responses should be able to handle a large demand for contamination screening of the local public as well as screening of the immediate victims of the incident. Results and Discussion: We propose operating procedures for an off-site contamination screening post operated by the local government for members of the public who have not been directly harmed in the accident. In order to devise screening categories, sorting strategies assessing contamination and exposure are discussed, as well as a psychological response system. Conclusion: This study will lead to the effective operation of contamination screening clinics if an accident occurs. Furthermore, the role of contamination screening clinics in the overall context of the radiation emergency treatment system should be clearly established.

Pre-earthquake fuzzy logic and neural network based rapid visual screening of buildings

  • Moseley, V.J.;Dritsos, S.E.;Kolaksis, D.L.
    • Structural Engineering and Mechanics
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    • v.27 no.1
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    • pp.77-97
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    • 2007
  • When assessing buildings that may collapse during a large earthquake, conventional rapid visual screening procedures generally provide good results when identifying buildings for further investigation. Unfortunately, their accuracy at identify buildings at risk is not so good. In addition, there appears to be little room for improvement. This paper investigates an alternative screening procedure based on fuzzy logic and artificial neural networks. Two databases of buildings damaged during the Athens earthquake of 1999 are used for training purposes. Extremely good results are obtained from one database and not so good results are obtained from the second database. This finding illustrates the importance of specifically collecting data tailored to the requirements of the fuzzy logic based rapid visual screening procedure. In general, results demonstrate that the trained fuzzy logic based rapid visual screening procedure represents a marked improvement when identifying buildings at risk. In particular, when smaller percentages of the buildings with high damage scores are extracted for further investigation, the proposed fuzzy screening procedure becomes more efficient. This paper shows that the proposed procedure has a significant optimisation potential, is worth pursuing and, to this end, a strategy that outlines the future development of the fuzzy logic based rapid visual screening procedure is proposed.

A minimum cost sampling inspection plan for destructive testing (破壤檢査詩의 最小費용 샘플링 檢査方式)

  • 趙星九;裵道善
    • Journal of the Korean Statistical Society
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    • v.7 no.1
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    • pp.27-43
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    • 1978
  • This paper deals with the problem of obtaining a minimum cost acceptance sampling plan for destructive testing. The cost model is constructed under the assumption that the sampling procedure takes the following form; 1) lots rejected on the first sample are acreened with a non-destructive testing, 2) the screening is assumed to be imperfect, and therefore, after the screening, a second sample is taken to determine whether to accept the lot of to scrap it. The usual sampling procedures for destructive testing can be regarded as special cases of the above one. Utilizing Hald's Bayesian approach, procedures for finding the global optimal sampling plans are given. However, when the lot size is large, the global plan is very different to obtain even with the aid of an electronic computer. Therefore a method of finding suboptimal plan is suggested. An example with uniform prior is also given.

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Estimating Process Capability with Truncated Samples (절단 표본을 이용한 공정능력의 추정)

  • Kim, Young-Jin
    • IE interfaces
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    • v.16 no.spc
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    • pp.65-69
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    • 2003
  • Process capability has long been viewed as a critical performance measure to indicate how well a process meet the specifications and customer requirements. Several indices, including $C_p$ and $C_{pk}$, have been proposed and widely implemented to quantify the process capability. However, these indices have been obtained without regard to inspection or screening procedures through which finished products will be truncated at the specifications. Consequently, only a fraction of outgoing products within the specifications will be passed into the customers. From the customer's point of view, it will thus be meaningful to assess the process capability with truncated samples. This article investigates how to estimate the process capability when only incomplete truncated data are available. On the basis of parameter estimation for truncated samples, the proposed methodology may be helpful to evaluate the process capability by examining a sample of items from the lots submitted.

Design of Complete Inspection Procedures Using the Performance and Screening Variables (주품질특성 및 대용특성을 활용한 전수검사의 설계)

  • Hong, Sung-Hoon
    • Journal of Korean Institute of Industrial Engineers
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    • v.24 no.2
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    • pp.279-285
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    • 1998
  • A quality inspection procedure interchangeably using the performance and screening variables is proposed. At the start of the inspection, the performance variable is measured for all items. As soon as i consecutive items are found to be free of defects, the screening variable is measured instead of the performance variable. If an item is rejected, the inspection based on the performance variable is resumed. All nonconforming items found in the inspection are either reworked or replaced with conforming items. It is assumed that the performance variable is dichotomous, and the screening variable given the performance variable is normally distributed with known mean and variance. The average outgoing quality (AOQ) expression is derived, and the methods of finding the inspection procedure with a specified average outgoing quality limit (AOQL) are presented.

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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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Screening of Microorganisms Having Inhibitory Activity against $\beta$-lactamase ($\beta$-Lactamase 저해능이 있는 방선균의 선별)

  • 강희일;김영일;박영주
    • YAKHAK HOEJI
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    • v.28 no.2
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    • pp.89-95
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    • 1984
  • Microorganisms having beta-latamase inhibitory activity were selected from soil samples collected from 63 spots throughout the country. Screening procedures consist of two steps. Those are growth inhibition test of penicillinase-producing Staphylococcus aureus by double-layered agar plate containing penicillin G as a substrate, and that of penicillin sensitive Staphylococcus aureus ATCC 6538 in the similiar condition including penicillinase. Finally, a strain was selected from a soil sample of Pa-ju, Kyeong-gi Do. This strain was classified as a Streptomyces sp. by ISP(International Streptomycete Project) and Bergey's manual.

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