• Title/Summary/Keyword: Agreement index

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[Republished study] Assessing Nutritional Status in Outpatients after Gastric Cancer Surgery: A Comparative Study of Five Nutritional Screening Tools ([재출판] 위암 수술 후 외래환자의 영양상태 평가: 5가지 영양검색도구의 비교연구)

  • Cho, Jae Won;Youn, Jiyoung;Choi, Min-Gew;Rha, Mi Young;Lee, Jung Eun
    • Korean Journal of Community Nutrition
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    • v.27 no.3
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    • pp.205-222
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    • 2022
  • Objectives: This study examined the characteristics of patients according to nutritional status assessed by five nutritional screening tools: Patient-Generated Subjective Global Assessment (PG-SGA), NUTRISCORE, Nutritional Risk Index (NRI), Prognostic Nutritional Index (PNI), and Controlling Nutritional Status (CONUT) and to compare the agreement, sensitivity, and specificity of these tools. Methods: A total of 952 gastric cancer patients who underwent gastrectomy and chemotherapy from January 2009 to December 2012 were included. The patients were categorized into malnutrition and normal status according to five nutritional screening tools one month after surgery. The Spearman partial correlation, Cohen's Kappa coefficient, the area under the curve (AUC), sensitivity, and specificity of each two screening tools were calculated. Results: Malnutrition was observed in 86.24% of patients based on the PG-SGA and 85.82% based on the NUTRISCORE. When NRI or CONUT were applied, the proportions of malnutrition were < 30%. Patients with malnutrition had lower intakes of energy and protein than normal patients when assessed using the PG-SGA, NUTRISCORE, or NRI. Lower levels of albumin, hemoglobin, total lymphocyte count, and total cholesterol and longer postoperative hospital stays were observed among patients with malnutrition compared to normal patients when NRI, PNI, or CONUT were applied. Relatively high agreement for NUTRISCORE relative to PG-SGA was found; the sensitivity was 90.86%, and the AUC was 0.78. When NRI, PNI, and CONUT were compared, the sensitivities were 23.72% for PNI relative to NRI, 44.53% for CONUT relative to NRI, and 90.91% for CONUT relative to PNI. The AUCs were 0.95 for NRI relative to PNI and 0.91 for CONUT relative to PNI. Conclusions: NUTRISCORE had a high sensitivity compared to PG-SGA, and CONUT had a high sensitivity compared to PNI. NRI had a high specificity compared to PNI. This relatively high sensitivity and specificity resulted in 77.00% agreement between PNI and CONUT and 77.94% agreement between NRI and PNI. Further cohort studies will be needed to determine if the nutritional status assessed by PG-SGA, NUTRISCORE, NRI, PNI, and CONUT predicts the gastric cancer prognosis.

The Measures of Agreement between the Classification Standard of BMI and that of CDRS in Women university students (여자대학생의 BMI와 신체상평정척도(CDRS) 분류기준에 대한 일치도 검정)

  • Nam, Duck-Hyun
    • Journal of Digital Convergence
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    • v.14 no.2
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    • pp.519-527
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    • 2016
  • This research aims at investigating the measures of agreement between BMI classification standard and that of 9-point contour drawing rating scale(CDRS), verifying their usefulness for the application to the filed, examining university students' substantial understanding of their bodies, and offering correct information regarding the distorted recognition of their bodies. In order to examine the measures of agreement between the classification standard of BMI and that of CDRS, and the women university students' recognition of their body images depending on BMI, Cross tabulation was carried out, and ${\chi}^2$, Spearman rank correlation coefficient and kappa statistics were calculated. As the analysis results, the classification standards of CDRS and BMI judged by general female college students showed statistically the correlation was high with ${\rho}=.719$(p<.001) and an average level of confirmity with ${\kappa}=.506$(p<.001). Based on these results, regarding body shape, sizes and shapes according to racial characteristics need to be controlled later.

Reliability and Validity Analysis of the Instrument of Oriental Medical Evaluation for Hwa-Byung (화병 한의 평가도구의 신뢰도, 타당도 평가)

  • Lee, Hun-Soo;Choi, Woo-Chang;Yu, Yun-Seon;Kang, Wee-Chang;Jung, In-Chul
    • Journal of Oriental Neuropsychiatry
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    • v.25 no.4
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    • pp.351-358
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    • 2014
  • Objectives: This study was performed to evaluate the reliability and validity of the instrument of oriental medical evaluation for Hwa-byung. Methods: 97 participants diagnosed with Hwa-byung divided into 5 pattern identifications by the instrument on pattern identifications for Hwa-byung were tested by the instrument of oriental medical evaluation for Hwa-byung twice a week. Results: The intraclass correlation coefficient of the test-retest analysis of oriental medical evaluation for Hwa-byung had over moderate agreement. The intraclass correlation coefficient of test-retest analysis of evaluation index of symptoms had moderate agreement for the total symptoms, and fair agreement for the physical and mental symptoms. The validity analysis of the instrument represented a positive correlation in the pattern identification of stagnation of liver Gi, malfunction of gallbladder due to phlegm stagnation, and disharmony between heart and kidneys. Conclusions: The results showed that the reliability analysis of the instrument of oriental medical evaluation for Hwa-byung showed over moderate agreement, and validity analysis represented a positive correlation except for the pattern identification of flare-up of liver fire and deficiency of both Gi and blood.

Quantification of Pancreas Surface Lobularity on CT: A Feasibility Study in the Normal Pancreas

  • Riccardo Sartoris;Alberto Calandra;Kyung Jin Lee;Tobias Gauss;Valerie Vilgrain;Maxime Ronot
    • Korean Journal of Radiology
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    • v.22 no.8
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    • pp.1300-1309
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    • 2021
  • Objective: To assess the feasibility and reproducibility of pancreatic surface lobularity (PSL) quantification derived from abdominal computed tomography (CT) in a population of patients free from pancreatic disease. Materials and Methods: This retrospective study included 265 patients free from pancreatic disease who underwent contrast-enhanced abdominal CT between 2017 and 2019. A maximum of 11 individual PSL measurements were performed by two abdominal radiologists (head [5 measurements], body, and tail [3 measurements each]) using dedicated software. The influence of age, body mass index (BMI), and sex on PSL was assessed using the Pearson correlation and repeated measurements. Inter-reader agreement was assessed using the intraclass correlation coefficient (ICC) and Bland Altman (BA) plots. Results: CT images of 15 (6%) patients could not be analyzed. A total of 2750 measurements were performed in the remaining 250 patients (143 male [57%], mean age 45 years [range, 18-91]), and 2237 (81%) values were obtained in the head 951/1250 (76%), body 609/750 (81%), and tail 677/750 (90%). The mean ± standard deviation PSL was 6.53 ± 1.37. The mean PSL was significantly higher in male than in female (6.89 ± 1.30 vs. 6.06 ± 1.31, respectively, p < 0.001). PSL gradually increased with age (r = 0.32, p < 0.001) and BMI (r = 0.32, p < 0.001). Inter-reader agreement was excellent (ICC 0.82 [95% confidence interval 0.72-0.85], with a BA bias of 0.30 and 95% limits of agreement of -1.29 and 1.89). Conclusion: CT-based PSL quantification is feasible with a high success rate and inter-reader agreement in subjects free from pancreatic disease. Significant variations were observed according to sex, age, and BMI. This study provides a reference for future studies.

The Fuzzy Power Function of a Test (검정에 관한 퍼지 검정력 함수의 성질)

  • Gang, Man-Gi;Jeong, Ji-Yeong;Park, Yeong-Rye;Choe, Gyu-Tak
    • Proceedings of the Korean Institute of Intelligent Systems Conference
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    • 2007.11a
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    • pp.183-186
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    • 2007
  • We introduction some properties for fuzzy power function of performance of a test. First we define fuzzy type I error and type II error for the probability of the two types of error. And we show that an fuzzy error probability of one kind can only be reduced at cost of increasing the other fuzzy error probability.

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Thickness Measurements of the Base Concrete by the Impact-resonance Test (탄성파 공진법에 의한 기초 콘크리트의 두께 측정)

  • 김영환
    • Proceedings of the Korea Concrete Institute Conference
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    • 1989.10a
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    • pp.53-58
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    • 1989
  • Thicknesses of the base concrete blocks for large machines were estimated by analyzing the resonance modes of mechanical vibrations. The vibration was produced by the mechanical impact and detected by a wideband conical transcuder. There signals were analyzed by FET and thicknesses were obtained by the peaks of frequency spectrum. The estimated thickness upto 100cm are in good agreement with the real ones. For the layered concrete block, the estimated thickness is dependent on the acoustic reflective index at the boundary of the two layers.

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Post-Earthquake Damage Evaluation for R/C Buildings Based on Residual Seismic Capacity (지진피해를 받은 철근콘크리트 건물의 지진피해도 판정)

  • Lee Kang Seok;Kang Dae-Eon
    • Proceedings of the Korea Concrete Institute Conference
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    • 2005.11a
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    • pp.109-112
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    • 2005
  • In this paper described is the basic concept of the Guideline for Post-earthquake Damage Assessment of RC buildings, revised in 2001, in Japan. This paper discusses the damage rating procedures based on the residual seismic capacity index R, the ratio of residual seismic capacity to the original capacity, that is consistent with the Japanese Standard for Seismic Evaluation of Existing RC Buildings, and their validity through calibration with observed damage due to the 1995 Hyogoken-Nambu (Kobe) earthquake. Good agreement between the residual seismic capacity ratio and damage levels was observed.

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A Study on the Objective Evaluation Model of Telephone Transmission Quality (통화품질 객관평가 모델링에 관한 연구)

  • 조재철;박순영;방만원
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.16 no.6
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    • pp.509-516
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    • 1991
  • In this paper, we propose on objective evaluation model of telephone transmission qulity in order to estimate a satisfaction score regarding speech quality in a relephone network. As the degradantion factors of telephone transmission quality, this model takes into account transmission loss, noise, distortion, talker echo and sidetone. A performance index[PI] is introduced for five psychological factors affecting telephone speech qualty, and a Mean Opinion Score(MOS) is estimated from the sum of all Pis. The simulation results indicate theat the MOS obtained from the objective evaluation model is in good agreement with that of subjective evaluation.

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Characterization of Doped Silicon from 0.1 to 2.5 THz Using Multiple Reflection

  • Jeon, Tae-In
    • Journal of the Optical Society of Korea
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    • v.3 no.1
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    • pp.10-14
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    • 1999
  • Via THz Time domain spectroscopy, the characterization of high conductive n-type, 1.31Ω cm silicon can be measured by directly analyzing the multiple reflections using Fabry-Perot theory. The magnitude and phase difference of total transmission show good agreement between theoretical and experimental values over a 2.5 THz frequency range with complex index of refraction and power absorption. The measured absorption and dispersion are strongly frequency-dependent, and all of the results are well fit by a Cole-Davidson type distribution.

The Regional-Scale Weather Model Applications for Hydrological Prediction (수문학적 예측을 위한 지역규모 기상모델의 활용)

  • Jung, Yong;Baek, Jong-Jin;Choi, Min-Ha
    • Proceedings of the Korea Water Resources Association Conference
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    • 2012.05a
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    • pp.936-940
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    • 2012
  • 충분한 선행시간을 확보한 강우의 정확한 예측은 홍수피해를 저감하기 위한 필요한 조건이다. 이를 위해 지역규모의 기상모델인 Advanced Research WRF (ARW)를 적용하여 지역에 맞는 강우 예측에 가장 밀접한 관계를 갖는 물리학적 요소들의 최적화된 조건을 찾아보려 한다. 이를 위해 2006년의 7월의 강우에 대한 분석을 실시하고 생극과 분천의 강우 관측치 와의 비교를 통해 (Root Mean Square Error와 Index of Agreement 활용), ARW의 수문학적 예측을 위한 적용 가능성을 보려 한다.

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