• Communications for Statistical Applications and Methods
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• 제20권1호
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• pp.1-13
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• 2013

This paper introduces an extended version of ${\kappa}$-records. Kullback-Leibler (K-L) information between two generalized distributions arising from ${\kappa}$-records is derived; subsequently, it is shown that K-L information does not depend on the baseline distribution. The behavior of K-L information for order statistics and ${\kappa}$-records, is studied. The exact expressions for K-L information between distributions of order statistics and upper (lower) ${\kappa}$-records are obtained and some special cases are provided.

• 한국정보과학회논문지:데이타베이스
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• 제41권4호
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• pp.256-261
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• 2014

Top-${\kappa}$ 유사도 조인 문제는 두 개의 입력 레코드 집합들에서 유사도를 기준한 상위 ${\kappa}$ 개의 레코드 쌍을 찾는 것이다. 샘플링 기법을 이용하여 상위 ${\kappa}$ 개의 유사도 조인 쌍을 반환하는 효율적인 알고리즘을 제안한다. 입력 레코드들의 표본에서 집합 유사도 조인들의 히스토그램을 구성하고, 상위 ${\kappa}$ 개의 조인 쌍을 위한 추정 유사도 한계치를 통계 추론으로 95% 신뢰 구간의 오차 한계 내에서 계산한다. 상위 ${\kappa}$ 개의 유사도 조인을 얻기 위하여 최소-히프 구조를 사용하는 일반 유사도 조인 알고리즘에 이 추정 한계치를 적용한다. 대 용량의 실제 데이터집합에서의 실험결과는 제안된 알고리즘의 좋은 성능을 보여준다.

• Journal of Nutrition and Health
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• 제29권9호
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• pp.1021-1027
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• 1996

This study examined the patterns of nutrient intakes measured by 1-, 3-, 7-day recalls and records as well as food frequency questionnaire among 59 females volunteers enrolled in the university in Seoul, Korea. Over a 4 month period, a modified Willett food frequency questionnaire was administered once, and a 24-hour dietary recall was conducted 12 times and a weighted dietary record 14 times. From these 12 recalls and 14 records, 1-, 3-, 7-day data were randomly selected. For energy and 11 nutrients, group mean intakes derived from food frequency questionnaire were higher than from recalls and records. Group mean intakes from recalls and records showed little differences depending on days of dietary studies and dietary methods. Measures of agreement were calculated by weighted kappa and intraclass correlation coefficient values calculated for quintile categories while comparing to the results of 26 days recalls and records. Weighted kappa values ranged from 0.11 for riboflavin to 0.36 for vitamin C for and 1-day recall, and from 0.21 for iron to 0.31 for energy for the 1-day record. Weighted kappa values were increased as the number of days of dietary studies increased (0.34-0.57 for the 3-day recalls, 0.27-0.50 for the 3-day records, 0.50-0.68 for the 7-day recalls, and 0.50-0.65 for the 7-day records). Weighted kappa values for food frequency questionnaire were higher than the 1-day data, but lower than the 3-and-7day data(0.34 for energy, 0.31 for iron and 0.22 for vitamin C). Intraclass correlation coefficients ranged from 0.21 for vitamin A to 0.57 for calcium. The degrees of agreement by different methods and days of dietary study are lower in our study compared to agreement by different methods and days of dietary study are lower in our study compared to those in previously published studies for Western populations, partly due to the differences of data analysis methods as well as of dietary patterns between those samples and ours.

• Tuberculosis and Respiratory Diseases
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• 제62권1호
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• pp.27-32
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• 2007

연구배경: 폐암환자를 대상으로 의무기록에서 흡연 습관의 정확성을 평가하고, 이에 영향을 미치는 요인들을 분석하고자 한다. 연구방법: 폐암을 진단받고 입원한 225예 환자를 대상으로 흡연 습관에 대한 일대일 면접 설문조사와 의무기록 사이의 일치도를 평가하였다. 의무기록의 흡연정보 누락과 두 자료원의 불일치에 기여하는 요인을 평가하기 위하여 다변량 로지스틱 회귀분석을 시행하였다. 결 과: 흡연 습관은 전반적으로 증등도의 일치도 (${\kappa}=0.60$)를 보였으며, 과거 흡연의 일치도(${\kappa}=0.49$)가 가장 낮았다. 의무기록의 흡연정보 누락률은 18.2%였으며, 세포형에 따라 유의한 차이를 보여, 편평상피세포암에 비하여 선암 환자에서의 누락률이 3배 높았다. 두 자료원 사이의 불일치는 65세 미만에 비해 65세 이상에서 3배 많았다. 결 론: 의무기록의 흡연 정보는 중등도의 정확성을 가진다. 임상 시험에서 흡연 습관에 대한 자료원으로 의무기록 정보를 이용하는데 세심한 주의가 필요하다고 판단한다.

• 한국정보과학회논문지:데이타베이스
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• 제31권2호
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• pp.132-139
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• 2004

범위 상위-$\kappa$ 질의는 질의 범위 내의 다차원 데이타 중 값 애트리뷰트를 기준으로 상위 k개의 레코드를 반환하는 질의로 공간 데이타베이스와 데이타 웨어하우스에서 분석을 위해 많이 사용되는 유용한 질의 형태이다. 이 논문에서는 계층 최대 R-트리의 선택적인 탐색을 통해 범위 상위-k 질의를 효과적으로 수행하는 기법을 제시한다. 이 기법은 단말 노드의 일부만을 접근하여 질의를 수행할 수 있으며, 질의 범위의 크기에 관계없이 거의 일정한 성능을 보인다. 또한 이 기법은 우선순위 큐를 효율적으로 관리함으로써 큐의 유지비용을 최소화하며, 기존 R-트리와 같은 팬아웃을 보장할 수 있다.

• Journal of Preventive Medicine and Public Health
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• 제48권5호
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• pp.239-248
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• 2015

Objectives: The purpose of this study was to assess the inter-rater reliability and intra-rater reliability of medical record review for the detection of hospital adverse events. Methods: We conducted two stages retrospective medical records review of a random sample of 96 patients from one acute-care general hospital. The first stage was an explicit patient record review by two nurses to detect the presence of 41 screening criteria (SC). The second stage was an implicit structured review by two physicians to identify the occurrence of adverse events from the positive cases on the SC. The inter-rater reliability of two nurses and that of two physicians were assessed. The intra-rater reliability was also evaluated by using test-retest method at approximately two weeks later. Results: In 84.2% of the patient medical records, the nurses agreed as to the necessity for the second stage review (kappa, 0.68; 95% confidence interval [CI], 0.54 to 0.83). In 93.0% of the patient medical records screened by nurses, the physicians agreed about the absence or presence of adverse events (kappa, 0.71; 95% CI, 0.44 to 0.97). When assessing intra-rater reliability, the kappa indices of two nurses were 0.54 (95% CI, 0.31 to 0.77) and 0.67 (95% CI, 0.47 to 0.87), whereas those of two physicians were 0.87 (95% CI, 0.62 to 1.00) and 0.37 (95% CI, -0.16 to 0.89). Conclusions: In this study, the medical record review for detecting adverse events showed intermediate to good level of inter-rater and intra-rater reliability. Well organized training program for reviewers and clearly defining SC are required to get more reliable results in the hospital adverse event study.

• Journal of Preventive Medicine and Public Health
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• 제52권6호
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• pp.377-383
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• 2019

Objectives: Self-reported disease history is often used in epidemiological studies. In this study, we acquired the hospital records of subjects who self-reported stroke or myocardial infarction (MI) and evaluated the validity of the participants' self-reported disease history. We also determined the level of agreement between specialists and non-specialists. Methods: Among the participants in the Health Examinees study, 1488 subjects self-reported stroke or MI during 2012-2017, and medical records were acquired for the 429 subjects (28.8%) who agreed to share their medical information. Each record was independently assigned to 2 medical doctors for review. The records were classified as 'definite,' 'possible,' or 'not' stroke or MI. If the doctors did not agree, a third doctor made the final decision. The positive predictive value (PPV) of self-reporting was calculated with the doctors' review as the gold standard. Kappa statistics were used to compare the results between general doctors and neurologists or cardiologists. Results: Medical records from 208 patients with self-reported stroke and 221 patients with self-reported MI were reviewed. The PPV of self-reported disease history was 51.4% for stroke and 32.6% for MI. If cases classified as 'possible' were counted as positive diagnoses, the PPV was 59.1% for stroke and 33.5% for MI. Kappa statistics showed moderate levels of agreement between specialists and nonspecialists for both stroke and MI. Conclusions: The validity of self-reported disease was lower than expected, especially in those who reported having been diagnosed with MI. Proper consideration is needed when using these self-reported data in further studies.

• Asian Pacific Journal of Cancer Prevention
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• 제14권3호
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• pp.2107-2111
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• 2013

Objectives: To investigate data agreement of cancer registries and medical records as well as the quality of care and assess their relationship in a 5-year period from 2006 to 2011. Methods: The present cross-sectional, descriptive-analytical study was conducted on 443 cases summarized through census and using a checklist. Data agreement of Nemazi hospital-based cancer registry and the breast cancer prevention center was analyzed according to their corresponding medical records through adjusted and unadjusted Kappa. The process of care quality was also computed and the relationship with data agreement was investigated through chi-square test. Results: Agreement of surgery, radiotherapy, and chemotherapy data between Nemazi hospital-based cancer registry and medical records was 62.9%, 78.5%, and 81%, respectively, while the figures were 93.2%, 87.9%, and 90.8%, respectively, between breast cancer prevention center and medical records. Moreover, quality of mastectomy, lumpectomy, radiotherapy, and chemotherapy services assessed in Nemazi hospital-based cancer registry was 12.6%, 21.2%, 35.2%, and 15.1% different from the corresponding medical records. On the other hand, 7.4%, 1.4%, 22.5%, and 9.6% differences were observed between the quality of the above-mentioned services assessed in the breast cancer prevention center and the corresponding medical records. A significant relationship was found between data agreement and quality assessment. Conclusion: Although the results showed good data agreement, more agreement regarding the cancer stage data elements and the type of the received treatment is required to better assess cancer care quality. Therefore, more structured medical records and stronger cancer registry systems are recommended.

• 대한한의학방제학회지
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• 제18권2호
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• pp.227-239
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• 2010

Objective : The purpose of this study was to develop the simulator which can analyze the anti-inflammatory effects of herbs based on e-cell, or the virtual cell. Method : We have ensured the medical herbs and its active compounds by investigating the oriental medicine records and NBCI(Biomedicine database). Also we have developed the web-based search system for confirming database related to anti-inflammation. We have researched the cell signal pathway related with inflammatory response control and established the mathematical model of herb interaction on selected signal pathway in e-cell. Finally we have developed the prototype which can confirm the result of this model visibly. Results : We constructed the database of 62 cases of anti-inflammatory active compounds in 61 cases of medical herbs which have been known anti-inflammation effects in the paper, 16 cases of inflammatory factors, 10 cases of signal pathways related with inflammatory response and 6,834 cases of URL(Uniform Resource Locator) of referenced papers. And we embodied the web-based research system, which can research this database. User can search basic and detailed information of medical plants related with anti-inflammatory by using information system. And user can acquire information on an active compounds, a signal pathway and a link URL of related paper. Among investigated ten pathways, we selected NF-${\kappa}B$, which plays important role in activation of immune system, and we searched the mechanisms of actions of proteins which could be components of this pathway. We reduced total network into IKK-$I{\kappa}B$ - NF-${\kappa}B$, and completed mathematic modeling by using ordinary differential equations and response variables of $I{\kappa}B-NF-{\kappa}B$ signaling model network which is suggested by Baltimore Group. We designed OED(Ordinary Differential Equation) for response of IKK, $I{\kappa}B$, $NF-{\kappa}B$ in e-cell's cytoplasm and nucleus, and measured whether an active compound of medicinal plants which is inputted by an user would have a anti-inflammation effects in obedience to change in concentration over time. The proposed model was verified by using experimental results of the papers which are listed on NCBI.

• Journal of Preventive Medicine and Public Health
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• 제42권2호
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• pp.117-122
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• 2009

Objectives : We tried to evaluate the agreement of the Charlson comorbidity index values(CCI) obtained from different sources(medical records and National Health Insurance claims data) for gastric cancer patients. We also attempted to assess the prognostic value of these data for predicting 1-year mortality and length of the hospital stay(length of stay). Methods : Medical records of 284 gastric cancer patients were reviewed, and their National Health Insurance claims data and death certificates were also investigated. To evaluate agreement, the kappa coefficient was tested. Multiple logistic regression analysis and multiple linear regression analysis were performed to evaluate and compare the prognostic power for predicting 1 year mortality and length of stay. Results : The CCI values for each comorbid condition obtained from 2 different data sources appeared to poorly agree(kappa: 0.00-0.59). It was appeared that the CCI values based on both sources were not valid prognostic indicators of 1-year mortality. Only medical record-based CCI was a valid prognostic indicator of length of stay, even after adjustment of covariables($\beta$ = 0.112, 95% CI = [0.017-1.267]). Conclusions : There was a discrepancy between the data sources with regard to the value of CCI both for the prognostic power and its direction. Therefore, assuming that medical records are the gold standard for the source for CCI measurement, claims data is not an appropriate source for determining the CCI, at least for gastric cancer.