• 제목/요약/키워드: Cut-off values

검색결과 310건 처리시간 0.029초

한국 물리치료사 국가 면허시험 합격 여부의 예측요인 탐색 (Exploring the Predictive Factors of Passing the Korean Physical Therapist Licensing Examination)

  • 김소현;조성현
    • 대한통합의학회지
    • /
    • 제10권3호
    • /
    • pp.107-117
    • /
    • 2022
  • Purpose : The purpose of this study was to establish a model of the predictive factors for success or failure of examinees undertaking the Korean physical therapist licensing examination (KPTLE). Additionally, we assessed the pass/fail cut-off point. Methods : We analyzed the results of 10,881 examinees who undertook the KPTLE, using data provided by the Korea Health Personnel Licensing Examination Institute. The target variable was the test result (pass or fail), and the input variables were: sex, age, test subject, and total score. Frequency analysis, chi-square test, descriptive statistics, independent t-test, correlation analysis, binary logistic regression, and receiver operating characteristic (ROC) curve analyses were performed on the data. Results : Sex and age were not significant predictors of attaining a pass (p>.05). The test subjects with the highest probability of passing were, in order, medical regulation (MR) (Odds ratio (OR)=2.91, p<.001), foundations of physical therapy (FPT) (OR=2.86, p<.001), diagnosis and evaluation for physical therapy (DEPT) (OR=2.74, p<.001), physical therapy intervention (PTI) (OR=2.66, p<.001), and practical examination (PE) (OR=1.24, p<.001). The cut-off points for each subject were: FPT, 32.50; DEPT, 29.50; PTI, 44.50; MR, 14.50; and PE, 50.50. The total score (TS) was 164.50. The sensitivity, specificity, and the classification accuracy of the prediction model was 99 %, 98 %, and 99 %, respectively, indicating high accuracy. Area under the curve (AUC) values for each subject were: FPT, .958; DEPT, .968; PTI, .984; MR, .885; PE, .962; and TS, .998, indicating a high degree of fit. Conclusion : In our study, the predictive factors for passing KPTLE were identified, and the optimal cut-off point was calculated for each subject. Logistic regression was adequate to explain the predictive model. These results will provide universities and examinees with useful information for predicting their success or failure in the KPTLE.

Optimization of InAlAs/InGaAs HEMT Performance for Microwave Frequency Applications and Reliability

  • Gupta, Ritesh;Aggarwal, Sandeep Kumar;Gupta, Mridula;Gupta, R.S.
    • JSTS:Journal of Semiconductor Technology and Science
    • /
    • 제4권3호
    • /
    • pp.240-249
    • /
    • 2004
  • In the present paper efforts have been made to optimize InAlAs/InGaAs HEMT by enhancing the effective gate voltage ($(V_c-V_off)$) using pulsed doped structure from uniformly doped to delta doped for microwave frequency applications and reliability. The detailed design criteria to select the proper design parameters have also been discussed in detail to exclude parallel conduction without affecting the del ice performance. Then the optimized value of $V_c-V_off$and breakdown voltages corresponding to maximum value of transconductance has been obtained. These values are then used to predict the transconductance and cut-off frequency of the del ice for different channel depths and gate lengths.

16Kbps와 40Kbps의 Dual Rate G.723 ADPCM 음성 codec 구현 (Implementation of Dual Rate G.723 ADPCM Speech codec)

  • 김재오;한경호
    • 대한전기학회:학술대회논문집
    • /
    • 대한전기학회 1998년도 하계학술대회 논문집 G
    • /
    • pp.2480-2482
    • /
    • 1998
  • In this paper, the implementation of dual rate ADPCM using G.723 16Kbps and 40Kbps speech codec algorithm is handled. For small signals, the low rate 16Kbps coding algorithm shows the same SNR as the high rate 40Kbps coding algorithm, while the low rate 16Kbps coding algorithm shows the lower SNR than the high rate 40Kbps coding algorithm for large signal. To obtain the good trade-off between the data rate and synthesized speech quality, we applied low rate 16Kbps for the small signal and high rate 40Kbps for the large signal. Various threshold values determining the rate are tested for good trade off data rate and speech quality. Also the low pass filter effect of speech input and output devices is simulated at several cut-off frequencies. To simulation result shows the good speech quality at a low rate comparing with 16Kbps & 40Kbps.

  • PDF

Clinical application of anti-M$\ddot{u}$llerian hormone as a predictor of controlled ovarian hyperstimulation outcome

  • Lee, Jae Eun;Lee, Jung Ryeol;Jee, Byung Chul;Suh, Chang Suk;Kim, Ki Chul;Lee, Won Don;Kim, Seok Hyun
    • Clinical and Experimental Reproductive Medicine
    • /
    • 제39권4호
    • /
    • pp.176-181
    • /
    • 2012
  • Objective: In 2009 anti-M$\ddot{u}$llerian hormone (AMH) assay was approved for clinical use in Korea. This study was performed to determine the reference values of AMH for predicting ovarian response to controlled ovarian hyperstimulation (COH) using the clinical assay data. Methods: One hundred sixty-two women who underwent COH cycles were included in this study. We collected data on age, basal AMH and FSH levels, total dose of gonadotropins, stimulation duration, and numbers of oocytes retrieved and fertilized. Blood samples were obtained on cycle day 3 before gonadotropin administration started. Serum AMH levels were measured at a centralized clinical laboratory center. The correlation between the AMH level and COH outcomes and cut-off values for poor and high response after COH was analyzed. Results: Concentration of AMH was significantly correlated with the number of oocytes retrieved (OPU; r=0.700, p<0.001). The mean${\pm}$SE serum AMH levels for poor ($OPU{\leq}3$), normal ($4{\leq}OPU{\leq}19$), and high ($OPU{\geq}20$) response were $0.94{\pm}0.15$ ng/mL, $2.79{\pm}0.21$ ng/mL, and $6.94{\pm}0.90$ ng/mL, respectively. The cut-off level, sensitivity and specificity for poor and high response were 1.08 ng/mL, 85.8%, and 78.6%; and 3.57 ng/mL, 94.4%, and 83.3%, respectively. Conclusion: Our data present clinical reference values of the serum AMH level for ovarian response in Korean women. The serum AMH level could be a clinically useful predictor of ovarian response to COH.

리튬이차전지 출력측정법의 원리 및 측정법간 비교 연구 (Principles and Comparative Studies of Various Power Measurement Methods for Lithium Secondary Batteries)

  • 이혜원;이용민
    • 전기화학회지
    • /
    • 제15권3호
    • /
    • pp.115-123
    • /
    • 2012
  • 리튬이차전지의 수요가 소형 휴대용 전자기기에서 중대형 전기자동차와 에너지저장장치로 변화함에 따라, 요구되는 전지 특성도 크게 달라지고 있다. 10년 이상의 장기 신뢰성, 팩 수준의 안전성, 가격 경쟁력 확보 등 기존 소형 전지보다 크게 강화된 요구 조건뿐만 아니라, 고출력 특성도 함께 필요로 한다. 그런데, 출력을 측정하기 위해서는 전압과 전류가 동시에 측정 및 제어되어야 하기 때문에, 기존의 단위셀 용량 측정보다 훨씬 어렵다. 또한, 측정 방법의 선택뿐만 아니라 출력유지시간, 충전상태(State-of-Charge, SOC), Cut-off 조건, 측정온도 등의 측정 조건에 따라서도 그 측정값이 크게 달라지는 경향이 있다. 본 논문에서는 HPPC (Hybrid Pulse Power Characterization)법, J-pulse(Japan Electric Vehicle Association Standards, JEVS D 713)법, 정출력 측정법(Constant Power Measurement)의 측정 원리 및 실제 실험에 어떻게 적용해야 하는지 설명하고, HEV(Hybrid Electric Vehicle)용 단위셀을 이용해 출력법간 측정 결과를 비교 분석한다.

Ki-67 Labeling Indices in 'Classic' versus 'Blastoid' Mantle Cell Lymphomas - Proposed Cutoff Values for Routine Diagnostic Workup

  • Pervez, Shahid;Haroon, Saroona;Awan, Dreema
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제16권15호
    • /
    • pp.6591-6594
    • /
    • 2015
  • Background: Mantle-cell lymphoma (MCL) is a unique entity of peripheral B-cell lymphoma that has a discrete morphologic, immunologic, and genetic phenotype, with more common 'classic' and less frequent 'blastoid' and 'pleomorphic' variants, associated with an aggressive clinical course. The aim of this study was to analyze proliferation (Ki-67) indices of 'classic' (c-MCL) and 'blastoid' (b-MCL) variants of a cohort of MCL and to suggest cut off values for the Ki-67 proliferation index in these two subsets. Materials and Methods: MCL cases diagnosed over $4{\frac{1}{2}}$ years at Section of Histopathology, Department of Pathology and Laboratory Medicine, Aga Khan University Hospital, Karachi were retrieved and reviewed. Ki-67 labelling was scored and analysed. Results: A total of 90 of cases of MCL were scrutinized. Mean age ${\pm}SD$ was $60.2{\pm}12.5$ years and the male to female ratio was 4:1, with 67 (75%) cases of c-MCL and 23 (25%) cases of b-MCL. Most samples were lymph node biopsies (n=68), whereas the remainder were from various extranodal sites The mean Ki-67 proliferation index was $29.5%{\pm}14.4%$ in classic variants and $64.4{\pm}15.2%$ for the blastoid variant, the difference being statistically significant (p = 0.029). Conclusions: It was concluded that differential cut-off values of Ki-67 labeling may be used in more objective way to reliably classify MCL into classic or blastoid variants by diagnostic pathologists. We propose a < 40 proliferative index to be suggestive of c-MCL and one of > 50 for the blastoid variant.

2011-2016년 의학교육평가컨소시엄 임상종합평가의 효과성 (Effectiveness of Medical Education Assessment Consortium Clinical Knowledge Mock Examination (2011-2016))

  • 이상엽;이예리;김미경
    • 의학교육논단
    • /
    • 제20권1호
    • /
    • pp.20-31
    • /
    • 2018
  • Good assessment is crucial for feedback on curriculum and to motivate students to learn. This study was conducted to perform item analysis on the Medical Education Assessment Consortium clinical knowledge mock examination (MEAC CKME) (2011-2016) and to evaluate several effects to improve item quality using both classical test theory and item response theory. The estimated difficulty index (P) and discrimination index (D) were calculated according to each course, item type, A (single best answer)/R (extended matching) type, and grading of item quality. The cut-off values used to evaluate P were: >0.8 (easy); 0.6-0.8 (moderate); and <0.6 (difficult). The cut-off value for D was 0.3. The proportion of appropriate items was defined as those with P between 0.25-0.75 and D ${\geq}0.25$. Cronbach ${\alpha}$ was used to assess the reliability and was compared with those of the Korean Medical Licensing Examination (KMLE). The results showed the recent mean difficulty and decimation index was 0.62 and 0.20 for the first MEAC CKME and 0.71 and 0.19 for the second MEAC CKME, respectively. Higher grade items evaluated by a self-checklist system had better D values than lower grade items and higher grade items gradually increased. The preview and editing process by experts revealed maintained P, decreased recall items, increased appropriate items with better D values, and higher reliability. In conclusion, the MEAC CKME (2011-2016) is deemed appropriate as an assessment to evaluate students' competence and prepare year four medical students for the KMLE. In addition, the self-checklist system for writing good items was useful in improving item quality.

The Value of Postoperative Serum Carcinoembryonic Antigen and Carbohydrate Antigen 19-9 Levels for the Early Detection of Gastric Cancer Recurrence after Curative Resection

  • Lee, Eung-Chang;Yang, Jun-Young;Lee, Kyung-Goo;Oh, Seung-Young;Suh, Yun-Suhk;Kong, Seong-Ho;Yang, Han-Kwang;Lee, Hyuk-Joon
    • Journal of Gastric Cancer
    • /
    • 제14권4호
    • /
    • pp.221-228
    • /
    • 2014
  • Purpose: This study aimed to evaluate the value of serum carcinoembryonic antigen (CEA) and carbohydrate antigen 19-9 (CA19-9) levels to detect gastric cancer recurrence. Materials and Methods: We retrospectively reviewed 154 patients who developed recurrence within 2 years after curative gastric cancer surgery and analyzed the relationship between postoperative CEA and CA19-9 levels and recurrence. We readjusted the cut-off values to improve the detection of recurrence. Subgroup analysis according to clinicopathologic variables was performed to further investigate the relationship between recurrence and CEA and CA19-9 levels. Results: The sensitivity and specificity for elevated CEA levels to detect recurrence were 40.6% and 89.5%, respectively, and those for CA19-9 were 34.2% and 93.6%, respectively. The sensitivity and specificity for elevation of either tumor marker were 54.3% and 84.0%, respectively; those for elevation of both tumor markers were 19.2% and 98.4%, respectively. By readjusting the cut-off values from 5.0 ng/ml to 5.2 ng/ml for CEA and from 37.00 U/ml to 30.0 U/ml for CA19-9, the sensitivity was increased from 34.2% to 40.2% for CA19-9, while there was no increase in sensitivity for CEA. In subgroup analysis, the sensitivity of CEA was higher in patients with elevated preoperative CEA levels than in patients with normal preoperative CEA levels (86.7% versus 33.7%; P<0.001). Furthermore, the sensitivity of CA19-9 was higher in patients with elevated preoperative CA19-9 levels than in patients with normal preoperative CA19-9 levels (82.61% versus 26.83%; P<0.001). Conclusions: CEA and/or CA19-9 measurement with the readjusted cut-off values allows for more effective detection of gastric cancer recurrence.

Revisiting the Kendall Tau Statistic and Kendall's Tau Table Giving P-values

  • Chastek, Benjamin;Rahman, Mezbahur
    • Journal of the Korean Data and Information Science Society
    • /
    • 제16권2호
    • /
    • pp.477-505
    • /
    • 2005
  • This paper gives a computer code that gives p-value's for Kendall's Tau table. The code centers around finding the cumulative frequency of a given Sigma value. Current tables usually give critical values for given cut-off percentages. For small sample sizes the critical values may be inexact, and for large samples the values are not be published. SPSS has a built in function for finding the Kendall rank correlation, but the output does not include the Sigma value. Before the code is given, this paper will concentrate around how to find the Sigma value, and the related tau statistic. The computer code is written in MATLAB, but the ideas can be easily transferred to different languages.

  • PDF

Practical coherency model suitable for near- and far-field earthquakes based on the effect of source-to-site distance on spatial variations in ground motions

  • Yu, Rui-Fang;Abduwaris, Abduwahit;Yu, Yan-Xiang
    • Structural Engineering and Mechanics
    • /
    • 제73권6호
    • /
    • pp.651-666
    • /
    • 2020
  • In this study, the spatial variation mechanisms of large far-field earthquakes at engineering scales are first investigated with data from the 2008 Ms 8.0 Wenchuan earthquake. And a novel 'coherency cut-off frequency' is proposed to distinguish the spatial variations in ground motions in the low-frequency and high-frequency ranges. Then, a practical piecewise coherency model is developed to estimate and characterize the spatial variation in earthquake ground motions, including the effects of source-to-site distances, site conditions and neighboring topography on these variations. Four particular earthquake records from dense seismograph arrays are used to investigate values of the coherency cut-off frequency for different source-to-site distances. On the basis of this analysis, the model is established to simulate the spatial variations, whose parameters are suitable for both near- and far-field earthquake conditions. Simulations are conducted to validate the proposed model and method. The results show that compared to the existing models, the proposed model provides an effective method for simulating the spatial correlations of ground motions at local sites with known source-to-site distances.