• 제목/요약/키워드: Coefficient of Concordance

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양육태도검사 예비형의 문항검사―재검사 신뢰도의 분석 (Analysis of Test-retest Reliability of Individual Items in a Preliminary From of Child-rearing Attitude Scale)

  • 차재호
    • 대한가정학회지
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    • 제20권2호
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    • pp.135-140
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    • 1982
  • As a step preliminary to the factor-analysis of a child-rearing attitude scale under construction, its preliminary form containing a total of 368 self-answered questions was administerd to 88 married women with one or more children in the grade school age. all graduates of colleges and in possession of a home telephone and a house, twice from one week apart. The test-retest correlation coefficients, calculated for each test item based on the subject's choice among the three response alternatives on two test ocasions, ranged from .80 to .10. The cut-off point of r=.41 or lower led to the elimination of 48 items. As a point of incidental interest, the rate of response concordance. The namber of subjects giving the same categroy response on two occasions was calculated for each item and it was correlated with its test. retest correlation coefficient. The two different indices of item test-retest reliability were found not related to each other. Empirical evidence, as well as rational justifications, was presented to show that the correlation coefficient is the better of the tow indices of item test-retest reliability.

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시내버스 노선변경에 따른 승객수요의 월별패턴 변화에 관한 연구 (A Study on the Change of Monthly Patterns of Bus Passenger Demand According to Bus Route Change)

  • 서영우;김기혁
    • 대한교통학회지
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    • 제26권5호
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    • pp.81-90
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    • 2008
  • 버스노선개편 및 환승요금무료와 같은 대중교통체계개편을 실시함에 따라 시내버스 이용자들이 개편된 노선에 익숙히 대처하기 위해서는 일정기간이 소요된다. 따라서 본 연구는 시내버스 승객수요의 월별 특성에 대해 분석하고, 시계열분석을 실시함으로써 버스노선개편 이후에 변화하는 시내버스 승객수요가 다시 안정된 월별특성을 나타내기까지의 기간에 관하여 연구하고자 한다. 먼저 여러 도시들의 시내버스 승객수요가 공통된 월별 특성을 나타내는지 분석하기 위해 켄달의 일치계수검정을 실시하였다. 또한 노선개편으로 인해 변화된 승객수요가 일정한 패턴을 보이는 기간을 분석하기 위해 시계열분석으로 예측된 2006년의 시내버스 월별 승객수와 실제 집계된 시내버스 월별 승객수를 비교하였다. 이에 따라 각 도시들은 공통된 월별 특성을 보이는 것으로 분석되었고, 대구광역시는 약 6개월 뒤에 예측값과 실제값이 같은 패턴으로 변화하는 것으로 분석되었다. 본 연구는 타도시에서도 적용이 가능하며 시내버스 승객수요의 미시적인 예측과 평가에 활용될 것으로 기대된다.

Verification of a computer-aided replica technique for evaluating prosthesis adaptation using statistical agreement analysis

  • Mai, Hang-Nga;Lee, Kyeong Eun;Lee, Kyu-Bok;Jeong, Seung-Mi;Lee, Seok-Jae;Lee, Cheong-Hee;An, Seo-Young;Lee, Du-Hyeong
    • The Journal of Advanced Prosthodontics
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    • 제9권5호
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    • pp.358-363
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    • 2017
  • PURPOSE. The purpose of this study was to evaluate the reliability of computer-aided replica technique (CART) by calculating its agreement with the replica technique (RT), using statistical agreement analysis. MATERIALS AND METHODS. A prepared metal die and a metal crown were fabricated. The gap between the restoration and abutment was replicated using silicone indicator paste (n = 25). Gap measurements differed in the control (RT) and experimental (CART) groups. In the RT group, the silicone replica was manually sectioned, and the marginal and occlusal gaps were measured using a microscope. In the CART group, the gap was digitized using optical scanning and image superimposition, and the gaps were measured using a software program. The agreement between the measurement techniques was evaluated by using the 95% Bland-Altman limits of agreement and concordance correlation coefficients (CCC). The least acceptable CCC was 0.90. RESULTS. The RT and CART groups showed linear association, with a strong positive correlation in gap measurements, but without significant differences. The 95% limits of agreement between the paired gap measurements were 3.84% and 7.08% of the mean. The lower 95% confidence limits of CCC were 0.9676 and 0.9188 for the marginal and occlusal gap measurements, respectively, and the values were greater than the allowed limit. CONCLUSION. The CART is a reliable digital approach for evaluating the fit accuracy of fixed dental prostheses.

Iodine Quantification on Spectral Detector-Based Dual-Energy CT Enterography: Correlation with Crohn's Disease Activity Index and External Validation

  • Kim, Yeon Soo;Kim, Se Hyung;Ryu, Hwa Sung;Han, Joon Koo
    • Korean Journal of Radiology
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    • 제19권6호
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    • pp.1077-1088
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    • 2018
  • Objective: To correlate CT parameters on detector-based dual-energy CT enterography (DECTE) with Crohn's disease activity index (CDAI) and externally validate quantitative CT parameters. Materials and Methods: Thirty-nine patients with CD were retrospectively enrolled. Two radiologists reviewed DECTE images by consensus for qualitative and quantitative CT features. CT attenuation and iodine concentration for the diseased bowel were also measured. Univariate statistical tests were used to evaluate whether there was a significant difference in CTE features between remission and active groups, on the basis of the CDAI score. Pearson's correlation test and multiple linear regression analyses were used to assess the correlation between quantitative CT parameters and CDAI. For external validation, an additional 33 consecutive patients were recruited. The correlation and concordance rate were calculated between real and estimated CDAI. Results: There were significant differences between remission and active groups in the bowel enhancement pattern, subjective degree of enhancement, mesenteric fat infiltration, comb sign, and obstruction (p < 0.05). Significant correlations were found between CDAI and quantitative CT parameters, including number of lesions (correlation coefficient, r = 0.573), bowel wall thickness (r = 0.477), iodine concentration (r = 0.744), and relative degree of enhancement (r = 0.541; p < 0.05). Iodine concentration remained the sole independent variable associated with CDAI in multivariate analysis (p = 0.001). The linear regression equation for CDAI (y) and iodine concentration (x) was y = 53.549x + 55.111. For validation patients, a significant correlation (r = 0.925; p < 0.001) and high concordance rate (87.9%, 29/33) were observed between real and estimated CDAIs. Conclusion: Iodine concentration, measured on detector-based DECTE, represents a convenient and reproducible biomarker to monitor disease activity in CD.

악관절의 경두개 방사선사진에서 하악과두위 평가에 관한 연구 (EVALUATION OF MANDIBULAR CONDYLE POSITION IN TMJ TRANSCRANIAL RADIOGRAPH)

  • 도정주;김은경
    • 치과방사선
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    • 제22권1호
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    • pp.67-75
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    • 1992
  • Transcranial radiograph is widely used in the diagnosis of craniomandibular disorder because it can be used by the dentist with relative ease in spite of image distortion. But correct information can be obtained only when one know the image change by projection angulation. The author compared the condyle position in the 3 groups of transcranial radiographs (horizontal angulation - 0°, 5°, individualized) with that in the individualized corrected lateral tomogram by objective and subjective evaluation methods. The results were as follows: 1. Among 3 transcranial groups, the condyle position in individualized group showed the highest concordance rate with that in the tomogram group in objective and subjective evaluation methods. 2. Correlation coefficient between individualized transcranial group and tomogram group in objective evaluation method was highest (P≤0.01). 3. Image clarity in individualized transcranial group was worse than that of the other two transcranial groups.

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픽셀단위 상대적 신뢰도와 일치상관계수를 이용한 영상의 깊이 추정 알고리즘 (An Image Depth Estimation Algorithm based on Pixel-wise Confidence and Concordance Correlation Coefficient)

  • 김연우;이칠우
    • 한국멀티미디어학회논문지
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    • 제21권2호
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    • pp.138-146
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    • 2018
  • In this paper, we describe an algorithm for extracting depth information from a single image based on CNN. When acquiring three-dimensional information from a single two-dimensional image using a deep-learning technique, it is difficult to accurately predict the edge portion of the depth image because it is a part where the depth changes abruptly. in this paper, we introduce the concept of pixel-wise confidence to take advantage of these characteristics. We propose an algorithm that estimates depth information from a highly reliable flat part and propagates it to the edge part to improve the accuracy of depth estimation.

공복혈당과 당화혈색소를 적용한 당뇨병 이상소견자의 분포 및 특성 - 당뇨병 기진단자를 제외한 성인을 대상으로 (The Distribution and Characteristics of Abnormal Findings Regarding Fasting Plasma Glucose and HbA1c - Based on Adults Except for Known Diabetes)

  • 권세영;나영악
    • 대한임상검사과학회지
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    • 제49권3호
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    • pp.239-247
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    • 2017
  • 현재 임상에서 적용되고 있는 대표적인 당뇨 진단 기준에는 표준검사법인 경구당부하검사, 공복혈당, 당화혈색소가 있다. 그러나, 검사별로 판정이 일치하지 않는 경우가 많다. 본 연구에서는 선별검사에서 행해지는 공복혈당과 당화혈색소를 이용하여 당뇨병 판정의 일치도를 구해보고, 유형별로 그 특성을 살펴 보았다. 국민건강영양조사 데이터(2015) 중 측정치 누락자, 당뇨병 기진단자, 공복 8시간 미만인 자를 제외한 20세 이상 대상자 4,502명(남성 1,956명, 여성 2,546명)의 자료를 이용하였다. 공복혈당과 당화혈색소 농도를 당뇨병 진단기준의 세 범주(정상, 당뇨병 전단계, 당뇨병)로 나누어 살펴본 남성 대상자의 분포에서 공복혈당 100 mg/dL~125 mg/dL이면서 HbA1c ${\geq}6.5%$인 대상자는 664명 중 23명, 새롭게 진단된 당뇨군 86명 중 39명은 공복혈당 ${\geq}126mg/dL$ 이면서 HbA1c < 6.5%로 나타났다. 판정의 일치율은 비당뇨군 80.3% 당뇨군 54.7%, 당뇨병 전단계에서 44.9%로 가장 낮았다. 코헨의 kappa 값은 남성의 경우 0.322, 여성의 경우 0.362로 일치도가 낮게 나타났고, 두 범주(비당뇨병, 당뇨병)로 나누었을 때 남성의 경우 0.582, 여성의 경우 0.637로 나타나 더 높은 일치도를 보였다. 공복혈당 <126 mg/dL이며 HbA1c < 6.5%인 군에서 연령도 낮고 대부분의 혈액 측정치도 낮게 나타났으며, 공복혈당 ${\geq}126mg/dL$ 이면서 HbA1c ${\geq}6.5%$인 군에서 남성의 경우 허리둘레, 혈압, 총 콜레스테롤, 중성지방의 수치가 높고 여성의 경우 ALT, hsCRP가 높게 나타났다. 남녀 모두 공복혈당 ${\geq}126mg/dL$인 군에서 인슐린저항성 지표인 HOMA IR값이 유의하게 높았고, <126 mg/dL인 군에서 인슐린감수성 지표인 QUICKI 값이 유의하게 높았다. 당뇨병 판정의 낮은 일치도 및 진단검사의 특성을 고려하여 관련검사의 병행 해석이 필요하다.

Feasibility of the Threshold-Based Quantification of Myocardial Fibrosis on Cardiac CT as a Prognostic Marker in Nonischemic Dilated Cardiomyopathy

  • Na Young Kim;Dong Jin Im;Yoo Jin Hong;Byoung Wook Choi;Seok-Min Kang;Jong-Chan Youn;Hye-Jeong Lee
    • Korean Journal of Radiology
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    • 제25권6호
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    • pp.540-549
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    • 2024
  • Objective: This study investigated the feasibility and prognostic relevance of threshold-based quantification of myocardial delayed enhancement (MDE) on CT in patients with nonischemic dilated cardiomyopathy (NIDCM). Materials and Methods: Forty-three patients with NIDCM (59.3 ± 17.1 years; 21 male) were included in the study and underwent cardiac CT and MRI. MDE was quantified manually and with a threshold-based quantification method using cutoffs of 2, 3, and 4 standard deviations (SDs) on three sets of CT images (100 kVp, 120 kVp, and 70 keV). Interobserver agreement in MDE quantification was assessed using the intraclass correlation coefficient (ICC). Agreement between CT and MRI was evaluated using the Bland-Altman method and the concordance correlation coefficient (CCC). Patients were followed up for the subsequent occurrence of the primary composite outcome, including cardiac death, heart transplantation, heart failure hospitalization, or appropriate use of an implantable cardioverter-defibrillator. The Kaplan-Meier method was used to estimate event-free survival according to MDE levels. Results: Late gadolinium enhancement (LGE) was observed in 29 patients (67%, 29/43), and the mean LGE found with the 5-SD threshold was 4.1% ± 3.6%. The 4-SD threshold on 70-keV CT showed excellent interobserver agreement (ICC = 0.810) and the highest concordance with MRI (CCC = 0.803). This method also yielded the smallest bias with the narrowest range of 95% limits of agreement compared to MRI (bias, -0.119%; 95% limits of agreement, -4.216% to 3.978%). During a median follow-up of 1625 days (interquartile range, 712-1430 days), 10 patients (23%, 10/43) experienced the primary composite outcome. Event-free survival significantly differed between risk subgroups divided by the optimal MDE cutoff of 4.3% (log-rank P = 0.005). Conclusion: The 4-SD threshold on 70-keV monochromatic CT yielded results comparable to those of MRI for quantifying MDE as a marker of myocardial fibrosis, which showed prognostic value in patients with NIDCM.

Comparing Korea Occupational Safety & Health Agency and National Health Insurance Service's cardio-cerebrovascular diseases risk-assessment tools using data from one hospital's health checkups

  • Yunrae Cho;Dong Geon Kim;Byung-Chan Park;Seonhee Yang;Sang Kyu Kim
    • Annals of Occupational and Environmental Medicine
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    • 제35권
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    • pp.35.1-35.11
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    • 2023
  • Background: Cardio-cerebrovascular diseases (CVDs) are the most common cause of death worldwide. Various CVD risk assessment tools have been developed. In South Korea, the Korea Occupational Safety & Health Agency (KOSHA) and the National Health Insurance Service (NHIS) have provided CVD risk assessments with health checkups. Since 2018, the KOSHA guide has stated that NHIS CVD risk assessment tool could be used as an alternative of KOSHA assessment tool for evaluating CVD risk of workers. The objective of this study was to determine the correlation and agreement between the KOSHA and the NHIS CVD risk assessment tools. Methods: Subjects of this study were 17,485 examinees aged 20 to 64 years who had undergone medical examinations from January 2021 to December 2021 at a general hospital. We classified subjects into low-risk, moderate-risk, high-risk, and highest-risk groups according to KOSHA and NHIS's CVD risk assessment tools. We then compared them with cross-analysis, Spearman correlation analysis, and linearly weighted kappa coefficient. Results: The correlation between KOSHA and NHIS tools was statistically significant (p-value < 0.001), with a correlation coefficient of 0.403 and a kappa coefficient of 0.203. When we compared risk group distribution using KOSHA and NHIS tools, CVD risk of 6,498 (37.1%) participants showed a concordance. Compared to the NHIS tool, the KOSHA tool classified 9,908 (56.7%) participants into a lower risk category and 1,079 (6.2%) participants into a higher risk category. Conclusions: In this study, KOSHA and NHIS tools showed a moderate correlation with a fair agreement. The NHIS tool showed a tendency to classify participants to higher CVD risk group than the KOSHA tool. To prevent CVD more effectively, a higher estimation tool among verified CVD risk assessment methods should be selected and managements such as early intervention and treatment of risk factors should be performed targeting the high-risk group.

한국어판 Cornell Assessment of Pediatric Delirium 소아 섬망 사정 도구의 검증 (The Reliability and Validity of the Korean Version of the Cornell Assessment of Pediatric Delirium)

  • 남송이;박기영;최수정
    • 임상간호연구
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    • 제26권2호
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    • pp.254-264
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    • 2020
  • Purpose: This study was to examine the reliability and validity of the Korean version of the Cornell Assessment of Pediatric Delirium (CAPD). Methods: For testing the reliability of the Korean version of the CAPD, this study calculated the internal consistency (Cronbach's α) and the Interrater Correlation Coefficient (ICC) by comparing the independent assessment results of three nurses in Pediatric Intensive Care Unit (PICU). For testing the validity of the Korean version of the CAPD, the assessment result of the Korean version of the CAPD compared with that of the Diagnostic and Statistical Manual of Mental Disorders V (DSM-V). Receiver Operating Characteristics (ROC) analysis was used for measuring sensitivity and specificity. Results: Overall interrater reliability of the Korean version of the CAPD, ICC was .98 (95% CI .96~.99). Cronbach's α was .91 for eight items. The concordance between the Korean version of the CAPD and psychiatrist's diagnosis was 90.0%. When the Korean version of the CAPD has the cut point of 9, sensitivity was 93.8%, and specificity was 75.0%. The area under the curve indicated by the ROC analysis was .88. Conclusion: The Korean version of the CAPD showed good reliability and validity. This tool will be useful for pediatric delirium screening and management in Korean PICU.