• Journal of Medicine and Life Science
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• 제19권1호
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• pp.20-25
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• 2022

This study aimed to examine the changes in the Numerical Rating Scale (NRS), Oswestry Disability Index (ODI), and Roland Morris Disability Questionnaire (RMDQ) scores before and after epidural steroid injection (ESI) in patients with lower back pain, and the correlation between the three scales in patients with reduced scores on these scales. Patients completed the NRS, ODI, and RMDQ before and after receiving ESI. A paired t-test was performed to compare the mean scores obtained before and after ESI. The correlations between the scores were estimated by calculating the difference between the baseline and follow-up scores. Of the 49 patients, 37 completed both questionnaire assessments. Among them, 26 patients (70%) presented a post-ESI decrease in scores obtained on all three scales. The NRS score decreased from 6.81±1.91 points at baseline to 3.66±2.22 points at follow-up (P<0.0001); similarly, the ODI score decreased from 41.65±14.76 to 30.38±16.16 points (P=0.0025); and the RMDQ score decreased from 11.11±5.68 to 7.64±5.74 points (P=0.011). Of the 37 patients who completed the two questionnaires, 26 had reduced NRS, ODI, and RMDQ scores. The intraclass correlation coefficients between the NRS and ODI, NRS and RMDQ, and ODI and RMDQ scores were 0.7943, 0.6615, and 0.7182, respectively. The concordance correlation coefficients between the NRS and ODI, NRS and RMDQ, and ODI and RMDQ scores were 0.6020, 0.4938, and 0.5202, respectively. Among the measurements, the correlation between the NRS and ODI scores was the highest, and a moderate correlation was found between the scores obtained using the other instruments.

• 보건행정학회지
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• 제6권2호
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• pp.1-13
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• 1996

To evalate the efficiency of public and private hospitals, the author used Data Envelopment Analysis(DEA), a mathematical linear programming method calculating the of ficiency of a unity(DMU: Decision Making Unit) in relation to the other units in analysis. DEA was applied to thirty three (10 public and 23 private) general hospitals wiwith 160 to 299 beds. In respect to productivity, public hospitals appeared to be a little more efficient than private ones, even though it's statisticansignificant. However, the efficiency score for profitability conversed that these contrary results were due to the caring of more medical protection patients in public hospitals, who brought less revenlue to te hospital than other patients. Public hospitals' superiority to private counterparts in productivity, which are aguged mainly based on cared patients, suggests that the former contributes so much positively to social utility. In particular, the fact that public hospitals are caring more medical protection patients, namely the poverty group whom the society should bear a burden of by all means, seems to be desirable in respect of role of publi hospitals.

• The Journal of the Acoustical Society of Korea
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• 제26권3E호
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• pp.87-96
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• 2007

In this paper we propose a new noise reduction algorithm for stationary and nonstationary noisy environments. Our algorithm classifies the speech and noise signal contributions in time-frequency bins, and is not based on a spectral algorithm or a minimum statistics approach. It relies on calculating the ratio of the standard deviation of the noisy power spectrum in time-frequency bins to its normalized time-frequency average. We show that good quality can be achieved for enhancement speech signal by choosing appropriate values for ${\delta}_t\;and\;{\delta}_f$. The proposed method greatly reduces the noise while providing enhanced speech with lower residual noise and somewhat higher mean opinion score (MOS), background intrusiveness (BAK) and signal distortion (SIG) scores than conventional methods.

• 한국정보통신학회논문지
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• 제26권12호
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• pp.1777-1785
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• 2022

본 연구는 국민 건강 검진 결과를 활용하여 건강점수 산출하는 새로운 방법을 제시하고 해당 결과의 타당성을 확인한 연구다. 건강점수(Health Score, 'HS')는 건강 검진 항목에 대한 임상적 기준과 통계적 장치를 적용하여 개인 건강 정도를 점수화한 지표로 특정 검진 항목이 건강변화량에 미치는 전체 크기와 건강변화량에 주는 영향력, 바이오마커가 정상 범위에서 벗어난 비율에 따른 가중치 변화율, 표준화 값으로 계산된다. 지표에 대한 검증은 선정된 질환에 대하여 질환 발생군과 미발생군 간의 HS를 비교하고, HS 순으로 나눈 구간에서 질환 발생률을 비교하여 타당성 검증을 시도하였다. 그 결과, 모든 선정 질환에서 질환의 유무에 따라 평균 HS 차이는 유의하였고, HS가 감소함에 따라 선정 질환의 발생률이 증가하는 경향을 보였다.

• 한국토양비료학회지
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• 제37권3호
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• pp.192-198
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• 2004

The heavy dependence of modern science-based agriculture on chemicals such as fertilizers and pesticides, and heavy machinery gave rise to questions about long-term sustainability of agriculture in relation to degradation of soil quality. The research achievements and trends in developing soil quality indicators were introduced and discussed in this report. Organization for Economic Cooperation and Development (OECD) established 13 agri-environment indicators including soil quality indicator in 1994, collected the soil data and methodologies for development of soil quality indicators in OECD member countries responded to OECD questionnaires and published the OECD reports, Environmental Indicators for Agriculture Volume 1, 2, and 3. Leading countries such as USA, Canada and New Zealand collected national data and evaluated the data in aspect of soil quality. They developed the various methods for selecting a minimum data set (MDS), scoring the soil properties and calculating soil quality index integrating the score of each soil property.

• 대한토목학회논문집
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• 제43권4호
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• pp.485-492
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• 2023

교통 체증, 교통사고 증대 등의 문제를 해결하기 위한 다양한 접근법 중 하나로 실시간 교통정보 제공을 통해 운전자의 효율적 운전 의사결정을 지원하여 교통 혼잡 개선을 유도하고 있으며, 민간에서는 주행 안전점수에 대한 운전자 보상으로 보험료 할인 등의 정책을 펼치고 있다. 이처럼 안전/환경적 주행에 대해 인센티브 정책과 관련된 다양한 선순환적인 대안들이 대두되고 있음에도 불구하고 안전/환경적 운전 시 어느 정도 규모의 인센티브 지급이 적정한지와 관련된 연구는 부족한 실정이다. 이에 본 연구는 설문을 통해 어떠한 요인들이 인센티브 규모 만족 여부에 영향을 미치며, 안전/환경적 운전을 가능하게 하는 인센티브 적정 규모를 이항 로지스틱 회귀모형을 활용하여 분석하였다. 운전점수 상승폭별 적정 지급 규모의 인센티브 값을 분석한 결과, 운전점수 상승폭 20점차일 때는 통행료의 0.4%, 운전점수 상승폭 30점차일 때는 통행료의 0.5%가 도출되었다. 운전자의 정보 공유 및 운전점수 상승에 대한 적정 인센티브 지급 규모를 산정을 통해 인센티브 최적화 및 인센티브 제도 실행 방안 마련에 도움이 될 것으로 사료된다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권5호
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• pp.1949-1953
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• 2014

Background: CA125 and HE4 are used in calculating Risk of Malignancy Algorithm (ROMA); and Risk of Malignancy Index (RMI). However, studies showed that normal levels of CA125, and HE4 differ among ethnicities such as between Asians and Caucasians, thus affecting the accuracy of the RMI score and ROMA in predicting ovarian malignancy. This study aimed to determine whether new or modified cutoff values for Ca125, HE4, the RMI score, and ROMA resulted in a better prediction of malignancy compared with the previous or standard ones. Materials and Methods: Serum level of CA125 and HE4 from 128 patients with diagnosis of ovarian tumor that had been collected before surgery at Cipto Mangunkusumo General Hospital (CMH) in Jakarta from November 2010 until May 2011 were reviewed and analysed. The standard cutoff values of these biomarkers, RMI, and ROMA were modified by using logistic regression model. The modified cutoff values were compared to the standard cutoff values in terms of sensitivity, specificity, and accuracy. Results: The modified cutoff value of CA125, HE4, RMI score and ROMA were 165.2 U/mL, 103.4 pM, 368.7, 28/54. The sensitivity and specificity of the modified cutoff values CA125, HE 4, RMI score and ROMA in differentiating benign from malignant and borderline were 67% and 75,4%; 73.1% and 85.2%; 73.1% and 80.3%; and 77.6% and 86.9%. While the sensitivity and specificity of the standard cutoff value of CA125; HE4; RMI score; and ROMA were 91% and 24.6%; 83.6% and 65%; 80.6% and 65.6%; and 91.0% and 42.6%. The accuracy of modified cutoff values compared with standard cutoff values were: 71.2% vs 59.3%, 78.9% vs 75% vs, 76.5% vs 73.4%, and 82% vs 67.9%. Conclusions: The new or modified cutoff values of Ca125, HE4, RMI score and ROMA resulted in higher accuracy compared to the previous or standard ones, at the cost of reduced sensitivity.

• 보건행정학회지
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• 제23권1호
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• pp.35-43
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• 2013

Background: Diagnosis procedure combination (DPC) has recently been introduced in Korea as a demonstration project and it has aimed the improvement of accuracy in bundled payment instead of Diagnosis related group (DRG). The purpose of this study is to investigate that the model of end-stage liver disease (MELD) score as the severity classification of liver diseases is adequate for improving reimbursement of DPC. Methods: The subjects of this study were 329 patients of liver disease (Korean DRG ver. 3.2 H603) who had discharged from National Health Insurance Corporation Ilsan Hospital which is target hospital of DPC demonstration project, between January 1, 2007 and July 31, 2010. We tested the cost differences by severity classifications which were DRG severity classification and clinical severity classification-MELD score. We used a multiple regression model to find the impacts of severity on total medical cost controlling for demographic factor and characteristics of medical services. The within group homogeneity of cost were measured by calculating the coefficient of variation and extremal quotient. Results: This study investigates the relationship between medical costs and other variables especially severity classifications of liver disease. Length of stay has strong effect on medical costs and other characteristics of patients or episode also effect on medical costs. MELD score for severity classification explained the variation of costs more than DRG severity classification. Conclusion: The accuracy of DRG based payment might be improved by using various clinical data collected by clinical situations but it should have objectivity with considering availability. Adequate compensation for severity should be considered mainly in DRG based payment. Disease specific severity classification would be an alternative like MELD score for liver diseases.

• Korean Chemical Engineering Research
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• 제62권3호
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• pp.214-224
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• 2024

밸브는 유량과 압력 조절 등의 중요한 역할을 수행하며, 적절한 밸브 사이즈와 유형 선택이 필요하다. Engineering Procurement Construction (EPC) 산업에선 밸브 사이즈 계수(C_v)의 수식적 계산을 바탕으로 사이즈와 유형을 선정해왔으나 이러한 방식은 전문가의 많은 시간과 비용이 요구되어 비효율적이다. 본 연구는 이를 해결하기위해 머신 러닝기법을 이용한 밸브 사이즈 및 유형 예측 모델을 개발하였다. Artificial neural network (ANN), Random Forest, XGBoost, Catboost의알고리즘을 적용하여 모델들을 개발하였으며, 평가 지표로는 사이즈 예측에는 Normalized root mean squared error (NRMSE)와 R²를, 종류 예측에는 F1 score를 적용하였다. 또한, 유체 상에 따른 영향을 확인하고자 유체 전체, 액체, 기체, 스팀의 4개의 데이터 세트로 사례 연구를 진행하였다. 연구 결과, 사이즈의 경우 전체, 액체, 기체에선 Catboost(R²기준, 전체: 0.99216, 액체: 0.98602, 기체: 0.99300. NRMSE 기준, 전체: 0.04072, 액체: 0.04886, 기체: 0.03619)가, 스팀에선 Random Forest가(R²: 0.99028, NRMSE: 0.03493) 가장 뛰어난 모델임을 확인하였다. 종류의 경우 Catboost가 모든 데이터에서 가장 높은 성과를 제시하였다(F1 score 기준, 전체: 0.95766, 액체: 0.96264, 기체: 0.95770, 스팀: 1.0000). 본 연구에서 제안한 모델들을 적용할 경우, 주어진 조건에 따른 밸브 선택을 도와 의사결정 속도를 높여줄 것으로 기대된다.

• 한국조경학회지
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• 제26권1호
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• pp.1-11
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• 1998

The purpose of this paper is twofold : to identify loyalty applicable to segmentation of theme park users and to find characteristics of the segments. Thetheme park was regarded as a product and Lotte World was regarded as a brand. One hundred thirty five college students were selected by nonprobability sampling for two waves thirty of data collection. Both behavioral and attitudinal dimension of loyalty were measured in the first wave by the proportion of visit of the Lotte World to 3 major theme parks for one year, including the Lotte World, and by calculating the mean score of selected 7 attitudinal items, respectively. After 14 weeks, the same respondents were asked the number of actual visits of the Lotte World. Medians of two dimensions and cluster analyses were utilized to classify the respondents into 4 categories : high, spurious, latent, and low loyalty. Then ANOVA and $$\chi$^2$ test of independence were conducted to find the difference in intention to visit the Lotte World and actual visitation of it among groups. Only intention was significantly different by the group and the mean score of intention was highest in the high loyalty group. Although no statistical difference was found in actual visitation among groups, the theory of planned behavior provided a theoretical support to conclude that the loyalty is a useful variable for segmentation of theme park users because intention is an antecedent variable to the behavior. Discriminant analyses showed that characteristics of each loyalty group can be differentiated by motivations and constraints. When median was a group classification criterion, 73.2 percent of high loyalty group was correctly classified. A few comments were suggested on data collection, and inclusion of new discriminant variables was discussed for the future research.