• Title/Summary/Keyword: Acceptable reliability level

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Reliability and Validity of the Femorotibial Mechanical Axis Angle in Primary Total Knee Arthroplasty: Navigation versus Weight Bearing or Supine Whole Leg Radiographs

  • Kim, Seong Hwan;Park, Yong-Beom;Song, Min-Ku;Lim, Jung-Won;Lee, Han-Jun
    • Knee surgery & related research
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    • v.30 no.4
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    • pp.326-333
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    • 2018
  • Purpose: To evaluate the reliability and validity of the femorotibial mechanical axis angle from radiographs in the weight bearing (WB) and supine positions compared with navigation-measured values. Materials and Methods: Sixty-eight cases of navigation-assisted total knee arthroplasty (TKA) were included. The pre- and postoperative whole leg radiographs (WLRs) in WB and supine positions were compared with the initial and final navigation values. Results: The mean mechanical axis angle from the preoperative WBWLR and navigation were not statistically different (p=0.079) and were correlated strongly with each other (intraclass correlation [ICC], 0.818). However, on postoperative measurements, although the WBWLR and navigation values were not different (p=0.098), they were not correlated with each other (ICC, 0.093). The standard error of measurement was $1.8^{\circ}{\pm}3.6^{\circ}$ for the preoperative WBWLR and $2.5^{\circ}{\pm}4.8^{\circ}$ for the postoperative WBWLR. The validity that was determined by the Bland-Altman plot was not acceptable for both pre- and postoperative measurements. Conclusions: The preoperative WBWLR could provide accurate but not precise measurement value of the femorotibial mechanical axis angle for navigation-assisted TKA, and postoperative measurements in navigation were not comparable with radiographic measurements. The lack of agreement was found between the radiographic and navigation measurements of the coronal alignment regardless of pre- or postoperative evaluation although the accuracy was found acceptable. Level of Evidence : Level 4.

Turkish Version of the Perceived Future Decent Work Securement Scale: Validity and Reliability for Nursing Students

  • Oznur Ispir Demir;Betul Sonmez;Duygu Gul;Sergul Duygulu
    • Safety and Health at Work
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    • v.14 no.3
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    • pp.332-339
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    • 2023
  • Background: The aim of the study was to test the validity and reliability of the Perceived Future Decent Work Securement Scale for Turkish nursing students. Methods: A cross-sectional, methodological study design was used. The study was carried out at three nursing undergraduate programs in Turkey during the academic year of 2020-2021 with 336 senior nursing students. Language validity and content validity analyses were performed for the scale adaptation, followed by confirmatory factor analysis (CFA) for construct validity. The reliability of the scale was determined using the test-retest and Cronbach's alpha internal consistency coefficient. Results: The scale-content validity index score was 0.988. In CFA, all goodness-of-fit indices verified the acceptable fit of the model; its root mean square error of approximation was 0.076; the normed fit index was 0.909; the standardized mean square residual was 0.097; the relative fit index was 0.881; the goodness-of-fit index was 0.915; the adjusted goodness-of-fit index was 0.872 and χ2/df = 2.932. The overall reliability was α = 0.86. The item-total correlations of the scale were above the acceptable level, and the test-retest analysis had a high correlation. The access to healthcare (14.68, SD 3.53) obtained the highest average score, and the adequate compensation (8.52, SD 3.76) was the lowest rated by the senior nursing students. Conclusion: The Perceived Future Decent Work Securement Scale is a valid and reliable scale to assess nursing students' future decent work securement.

Reliability and Validity on Oswestry Low Back Pain Disability Index(OLBPDI) in Patients with Low Back Pain (일부 요통환자를 대상으로 한 OLBPDI의 신뢰도 및 타당도)

  • Yi, Seung-Ju;Kim, Jin-Seop
    • Journal of Korean Physical Therapy Science
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    • v.18 no.3
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    • pp.53-61
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    • 2011
  • Purpose : his study was to analyze the reliability and validity on Oswestry Low Back Pain Disability Index (OLBPDI) in patients with low back pain. Methods : The sample consisted of 211 patients who had received treatments at the physical therapy units of 3 medical institutions from February to December 2008 in Andong city. Questionnaires on the OLBPDI were recruited by 6 physical therapists. The internal structure and reliability of the scales were evaluated by means of item-internal consistency(Cronbach's alpha coefficient:${\alpha}$), item-discriminant validity, Pearson's relation coefficient. Results : An average of patients's age was 41.1 years. The range of OLBPDI subscales were .93~.94 in Cronbach's ${\alpha}$. The internal consistency reliability of total item-each item were also internally consistent with Cronbach's ${\alpha}$ range of .94~.95(Pearson's correlation coefficient range: .62~.89). However, high correlation were obtained among 10 items(.67~.83), therefore the item-discriminant validity was a little low. Conclusion: In conclusion, the results reported here confirm the reliability of the OLBPDI scales in patients with low back pain. The collection of information on the level of disability due to low back pain using this instrument was acceptable to patients. A further prospective multi-center study will be necessary to prove the reliability and validity.

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Allocation of the Optimal Reliability and Maintainability in Manufacturing Systems (제조 시스템의 최적 신뢰도 및 보전도 할당)

  • 이상철
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.22 no.50
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    • pp.23-32
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    • 1999
  • Reliability and maintainability allocation in the analysis of the system's design, with the objective of planning and installing the individual components in such a way that the system performance is achieved. This paper has been made to solve an important task in reliability management of manufacturing systems within the general objective being to increase productivity while maintaining costs low. Thus, the purpose of this paper is to provide an analytical approach to determine an optimal reliability and maintainability allocation, trading off among system performance and parts investment costs. Two important considerations will be addressed in this regard : (ⅰ) determine the reliability and maintainability allocation of parts which maximizes a given production index, having fixed the total cost of investments ; and (ⅱ) determine the reliability and maintainability allocation which minimizes the total cost of investments, having fixed a minimum acceptable level of productivity. The procedure proposed in this paper is able to provide to managers and designers useful indications on the reliability and maintainability characteristics of parts in series -parallel systems. And this heuristic model is a decision support tool for contractors who are involved in large scale design projects such as ship and aircraft design. Numerical examples prove that an approximate expression of the average throughput rate is sufficiently accurate to be used in a numerical optimization method.

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Intra-Rater Test-Retest Reliability of Ely's Test Using Smartphone in Patients With Lumbar Extension-Rotation Syndrome

  • Park, Kyue-Nam;Ha, Sung-Min;Chung, Sung-Dae;Kim, Si-Hyun;Jang, Jun-Hyeok
    • Physical Therapy Korea
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    • v.19 no.4
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    • pp.46-54
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    • 2012
  • Ely's test is commonly used to assess rectus femoris muscle flexibility. however, a reliability limit of this test was demonstrated by a previous study. In this study, we present an alternative method using an application for a digital horizontal level in a smartphone (DHLS) to complement the reliability limit of Ely's test. The aim of this study was to examine the reliability of Ely's test using DHLS on the pelvis, compared to using visual observation (VO) of pelvic and hip motions. Nineteen patients with lumbar extension-rotation syndrome were recruited for this study. An examiner examined the rectus femoris flexibility (both pass/fail and goniometer scoring) through Ely's test using both DHLS and VO. A retest session was completed two hours later for within-day reliability and seven days later for between-day intra-rater test-retest reliability. Results showed higher Kappa values for pass/fail scoring and higher intraclass correlation coefficient values for goniometer scoring in Ely's test using DHLS, compared to using VO. Measurement error and Bland and Altman plots further demonstrated the degree of intra-rater variance during Ely's test using DHLS in a clinical setting, compared to using VO. These results demonstrated that Ely's test using DHLS showed acceptable reliability compared to using VO. Ely's test using DHLS could be widely used for measuring the rectus femoris muscle flexibility in patients with lumbar extension-rotation syndrome, although the inter-rater reliability needs to be established first.

Validity and Reliability on Psychometric Arthritis Impact Measurement Scale-Short Form (AIMS-SF) in Knee Osteoarthritis Patients (골관절염영향측정척도(AIMS-SF)의 타당도 및 신뢰도 - 일부 슬관절 골관절염 환자를 대상으로 -)

  • Yi, Seung-Ju;Nam, Tae-Ho
    • The Journal of Korean Physical Therapy
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    • v.19 no.5
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    • pp.29-41
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    • 2007
  • Purpose: The aim of this study was to examine the validity and reliability on Psychometric Arthritis Impact Measurement Scale-Short Form (AIMS-SF) in patients with knee osteoarthritis(OA). Methods: The sample consisted of 62 patients who had received physical therapy at the physical therapy units of the Andong Medical Center, Sungso Hospital, Ahn Orthopedic Surgery Clinic, and St. Luke Clinic in Andong city in June 2006. Questionnaire on the AIMS-SF was recruited by 5 physical therapists. The internal structure and reliability of the scales were evaluated by means of item-internal consistency(Cronbach's alpha coefficient: ${\alpha}$), item-discriminant validity, Pearson's relation coefficient. To explore construct validity we conducted a principal component factor analysis with varimax rotation analysis. The criterion for factor extraction was an eigenvalue >1.0. Results: 62 OA patients's an average $age{\pm}standard$ deviation was $53.8{\pm}14.4$ years (range: $40{\sim}81$ yr). The internal consistency reliability of 11 items, as estimated by Cronbach's ${\alpha}$ coefficient, was high ranging $0.60{\sim}0.78$ (except for 0.40 for mobility level and -0.48 for mood). The internal consistency reliability of item-each scale was also high $0.82{\sim}0.93$ (except for 0.48 for mood). Of 11 items, the item-discriminant validity on 6 items was high (${\alpha}$ coefficient range: $0.11{\sim}0.25$), however, others (0.57 for tension level, 0.48 for arthritis pain, 0.41 for walking and bending, and 0.40 for work) were a little low. The construct validity by factor analysis was a little low. Conclusion: In conclusion, the results reported here confirm the validity and reliability of the AIMS-SF in patients with OA of the knee. The Collection of information on health status using this instrument was acceptable to patients. A further prospective multi-center study will be necessary to prove the construct validity.

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Development and Validation of Food Security Measure (식품 보장 측정의 개발과 타당도 연구)

  • Kim, Ki-Rang;Kim, Mi-Kyung
    • Journal of Nutrition and Health
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    • v.42 no.4
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    • pp.374-385
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    • 2009
  • This study aims to develop an index of food security in order to assess food security status in Korea and to evaluate reliability and validity of the index. The index of food security was developed based on the US Household Food Security Survey Module (US-HFSS). After the US-HFSS was translated and back-translated, it was evaluated and modified by a focus interview for experts. The developed Korean Household Food Security Survey Module (K-HFSS) was tested by cognitive interviews and a pretest for general community population to assess its application for Korean population. For the reliability and validity of K-HFSS, the survey was conducted with 300 adults aged 40 years or more living in a rural community and 212 infants and toddlers living in an urban community. The reliability was assessed by Cronbach' alpha and the validity was evaluated by content validity, construct validity, and criterion-related validity. The questionnaire items of K-HFSS were partly modified, accounting for Korean social and cultural backgrounds and adapted by general community population. The reliability was relatively high, showing Cronbach' alpha coefficients ranged from 0.80 (for adults) to 0.87 (for infants and toddlers). The content and construct validities were all acceptable. The result of criterion-related validity showed that food security status was significantly related to the household income level. In conclusion, the K-HFSS would be used as a reliable and valid instrument to assess food security status in parts of the Korean population.

A Study on the Hazard Identification and Risk Mitigation for ATSRX Using Hazard and Operability Study (HAZOP Study를 사용한 ATSRX의 위험원도출 및 리스크 완화에 관한 연구)

  • LEE Jun-Ho;LEE Kang-Mi;KIM Yong-Kyu;SHIN Ducko
    • Journal of the Korean Society for Railway
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    • v.8 no.6 s.31
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    • pp.533-538
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    • 2005
  • In this paper we identity the hazard using HAZOP study for ATSRX which is a subsystem of the ATP system, and we study a safety management method for the mitigation of the risk to the acceptable level. ATSRX is a device that make a train which has a ATP system operate in ATS line. For this ATSRX send a induction signal with ATS system to vehicle controller. Thus ATSRX can be said a safety equipment that makes a train operate safely. In order to identify the hazard for the internal faults in ATSRX system, we employ HAZOP study method which is recommended as hazard identification in IEC 62278, RAMS requirements in railway signal, and also it provide the detail activity in IEC 61882. Thus, in this paper we perform HAZOP study based on ATSRX related standards and using the assessment of the identified hazard we study a method to guarantee the system safety through the change of the design to mitigate the risk to the acceptable level.

Validity and Reliability of the Life Transition Scale in Parents of Disabled Children Across the Life Transition Process

  • Hong, Sun Woo;Kim, JinShil;Bang, Hwal Lan
    • Child Health Nursing Research
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    • v.26 no.3
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    • pp.338-347
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    • 2020
  • Purpose: The Life Transition Scale (LTS) consists of 24 items that assess the life transition process of parents of autistic children. This study aimed to examine the validity and reliability of the LTS in parents of children with a wide spectrum of disabilities. Methods: Data were collected from 260 parents of children with disabilities through self-report questionnaires. Validity was examined using exploratory and confirmative factor analysis to determine the factor structures of the LTS; socio-demographic differences in LTS scores were examined using the t-test or ANOVA. Reliability was examined using Cronbach's α coefficient. Results: A four-factor structure was validated (χ2=640.0, p<.001, GFI=.81, RMSEA=.07, NNFI=.89, CFI=.89, PNFI=.74, Q [χ2/df]=2.60). The validity of the LTS was verified by exploratory factor analysis, with factor loading ranging from .30 to .80. There were significant differences in the accepting phase according to children's and parents' age and the type of disability, and in the wandering phase according to parental gender, educational level, job, and socioeconomic status. The Cronbach's αs for the reliability of each of the four structures were acceptable, within a range of .80~.90. Conclusion: The LTS is a valid and reliable measurement to assess the life transition process of parents with disabled children.

Application of Rasch Analysis to the Korean Version of the Pediatric Balance Scale in Children With Cerebral Palsy (뇌성마비 아동을 대상으로 실시한 한국어판 아동 균형 척도의 라쉬분석)

  • Kim, Gyoung-mo
    • Physical Therapy Korea
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    • v.24 no.1
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    • pp.41-50
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    • 2017
  • Background: The Pediatric Balance Scale (PBS) was developed to assess of balance ability in children with balance problem. The PBS was translated into Korean and its reliability had been studied. However, it had need to be verified using psychometric characteristics including item fit and rating scale. Objects: The purpose of this study was to investigate the item fit, item difficulty, and rating scale of the Korean version of PBS using Rasch analysis. Methods: In total, 40 children with cerebral palsy (CP) (boy=17, girl=23) who were diagnosed with level 1 or 2 according to the Gross Motor Function Classification System participated in this study. The PBS was performed, and was verified regarding the item fit, item difficulty, rating scale, and separation index and reliability using Rasch analysis. Results: In this study, the 'transfer', and 'turning to look behind left and right shoulders while standing still' item showed misfit statistics. in total 40 children with CP. Also, 'transfer', 'standing unsupported with feet together' and 'standing with one foot in front' items showed misfit statistics in diplegia CP group. Regardless of the classification of CP, the most difficult item was 'standing on one foot', whereas the easiest item was 'sitting with back unsupported and feet supported on the floor'. The 4 rating scale categories of PBS were acceptable with all criteria. Both item and person separation indices and reliability showed acceptable values. Conclusion: The PBS has been proven reliable, valid and is an appropriate tool, but it needs to modify the items of PBS according to CP classification.