• Title/Summary/Keyword: Diagnostic assessment

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Multivariate Meta-Analysis Methods of Comparing the Sensitivity and Specificity of Two Diagnostic Tests (두 진단검사의 비교에 대한 민감도와 특이도의 다변량 메타분석법)

  • Nam, Seon-Young;Song, Hae-Hiang
    • Communications for Statistical Applications and Methods
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    • v.18 no.1
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    • pp.57-69
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    • 2011
  • Researchers are continuously trying to find innovative diagnostic tests and published articles are accumulating at an enormous rate in many medical fields. Meta-analysis enables previously published study results to be reviewed and summarized; therefore, an objective assessment of diagnostic tests can be done with a meta-analysis of sensitivities and specificities. Data obtained by applying two diagnostic tests to a well-defined group of diseased patients produce a pair of sensitivity and by applying the same medical tests to a group of non-diseased subjects produce a pair of specificity. The statistical tests in the meta-analysis need to consider the correlatedness of the results from two diagnostic tests applied to the same diseased and non-diseased subjects. The associations between two diagnostic test results are often found to be unequal for the diseased and non-diseased subjects. In this paper, multivariate meta-analytic methods are studied by taking into account the different associations between correlated variables. On the basis of Monte Carlo simulations, we evaluate the performance of the multivariate meta-analysis methods proposed in this paper.

A Study of Development of Diagnostic System for Web Application Vulnerabilities focused on Injection Flaws (Injection Flaws를 중심으로 한 웹 애플리케이션 취약점 진단시스템 개발)

  • Kim, Jeom-Goo;Noh, Si-Choon;Lee, Do-Hyeon
    • Convergence Security Journal
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    • v.12 no.3
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    • pp.99-106
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    • 2012
  • Today, the typical web hacking attacks are cross-site scripting(XSS) attacks, injection vulnerabilities, malicious file execution and insecure direct object reference included. Web hacking security systems, access control solutions, access only to the web service and flow inside but do not control the packet. So you have been illegally modified to pass the packet even if the packet is considered as a unnormal packet. The defense system is to fail to appropriate controls. Therefore, in order to ensure a successful web services diagnostic system development is necessary. Web application diagnostic system is real and urgent need and alternative. The diagnostic system development process mu st be carried out step of established diagnostic systems, diagnostic scoping web system vulnerabilities, web application, analysis, security vulnerability assessment and selecting items. And diagnostic system as required by the web system environment using tools, programming languages, interfaces, parameters must be set.

International Caries Detection and Assessment System (ICDAS) (최신 치아우식 진단기준 : International Caries Detection and Assessment System (ICDAS))

  • Choi, Youn-Hee
    • The Journal of the Korean dental association
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    • v.49 no.8
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    • pp.451-460
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    • 2011
  • Dental caries has been widely prevalent with presence of cavitation on teeth. For the last several decades, the prevalence of dental caries in developed countries has rapidly decreased so there has been needed a new and detailed diagnostic guideline to differentiate the severity of dental caries, especially for early status of caries. The cariology specifically requires the development of an integrated definition of dental caries and uniform systems for measuring the caries process in the fields of clinical diagnosis and treatment, epidemiological researches, and dental education and so forth. The international Caries Detection and Assessment System (ICDAS) optically measures the enamel surface changes and potential histological depth of carious lesions by relying on surface characteristics of teeth. ICDAS is a visual classification system that was developed to diagnose the subtle changes of enamel surface, predict the progress direction of early caries, allow standardized data collection in relation to caries in different settings, and to enable better comparison of oral health between countries worldwide and research studies.

Resilience and Resistance of Biological Community : Application for Stream Ecosystem Health Assessment (생물 군집의 회복력 및 저항력 : 하천생태계 건전성 평가를 위한 응용성)

  • Ro, Tae-Ho
    • Journal of Environmental Policy
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    • v.1 no.1
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    • pp.91-110
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    • 2002
  • Ecosystem health assessment is an emerging concept regarded as a useful diagnostic tool for evaluating ecosystems. The stability of ecosystem is the main theme in the assessment. Generally, two components - resilience and resistance - are involved in the mechanism of ecosystem stability. In this study, relative degrees of the resistance and the resilience were quantified for most aquatic Insects Inhabiting running waters in Korea. A total of 34 groups were newly categorized based on previous studies, and a conceptual model has been produced. The model was applied for the aquatic insect communities inhabiting different streams and demonstrated that each stream ecosystem possessed different degrees of stability. This study also indicated that it was possible to compare stabilities of different ecosystems using relative degrees of resilience and resistance. Using the conceptual model, suitable conservation and management strategies could be recommended in ecological assessments. The model can be used as a stepping-stone for developing more comprehensive methodology that objectively diagnoses and evaluates the ecosystem stability.

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A Word List Construction and Measurement Method for Intelligibility Assessment of Synthesized Speech by Rule (규칙 합성음의 이해성 평가를 위한 단어표 구성 및 실험법)

  • 김성한;홍진우;김순협
    • Journal of the Korean Institute of Telematics and Electronics B
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    • v.29B no.1
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    • pp.43-49
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    • 1992
  • As a result of recent progress in speech synthesis techniques, the those new services using new techniques are going to introduce into the telephone communication system. In setting standards, voice quality is obviously an important criterion. It is very important to develope a quality evaluation method of synthesized speech for the diagnostic assessment of system algorithm, and fair comparison of assessment values. This paper has described several basic concepts and criterions for quality assessment (intelligibility) of synthesized speech by rule, and then a word selection method and the word list to be used in word intelligibility test were proposed. Finally, a test method for word intelligibility is described.

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Developing a Framework for Assessing Smart Factory Readiness of SMEs and Case Study (중소기업을 위한 스마트공장 도입 준비도 진단 체계 개발 및 적용사례연구)

  • Cho, Ji-Hoon;Shin, Wan-Seon
    • Journal of Korean Society for Quality Management
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    • v.47 no.1
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    • pp.1-15
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    • 2019
  • Purpose: The purpose of this study is to support SMEs' introduction of smart factories during the $4^{th}$ Industrial Revolution era. Through this study, we developed the readiness assessment framework for SMEs. This study draws practical implications for improving the readiness of SMEs to introduce smart factories. Methods: Readiness Assessment Framework Design method, Case Studies Analysis Results: This study identified SMEs suitable for smart factories and identified key issues for nonconforming companies. And the diagnostic framework has been determined whether it works in a real-life SME environment. Conclusion: In order to succeed in the smart factory deployment, readiness assessment for SMEs should be performed as necessary. Prior to the introduction of smart factories, quality innovation activities should be carried out according to factory level.

CT Assessment of Myocardial Perfusion and Fractional Flow Reserve in Coronary Artery Disease: A Review of Current Clinical Evidence and Recent Developments

  • Chun-Ho Yun;Chung-Lieh Hung;Ming-Shien Wen;Yung-Liang Wan;Aaron So
    • Korean Journal of Radiology
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    • v.22 no.11
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    • pp.1749-1763
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    • 2021
  • Coronary computed tomography angiography (CCTA) is routinely used for anatomical assessment of coronary artery disease (CAD). However, invasive measurement of fractional flow reserve (FFR) is the current gold standard for the diagnosis of hemodynamically significant CAD. CT-derived FFRCT and CT perfusion are two emerging techniques that can provide a functional assessment of CAD for risk stratification and clinical decision making. Several clinical studies have shown that the diagnostic performance of concomitant CCTA and functional CT assessment for detecting hemodynamically significant CAD is at least non-inferior to that of other routinely used imaging modalities. This article aims to review the current clinical evidence and recent developments in functional CT techniques.

Assessment of Tumor Response to Therapy in Lymphoma Using $^{18}F$-FDG PET: Diagnostic Performance of $^{18}F$-FDG PET and Interval Likelihood Ratio PET and Interval Likelihood Ratio ($^{18}F$-FDG PET을 이용한 림프종 치료 반응 평가: $^{18}F$-FDG PET의 진단 성능 특성과 구간 우도비)

  • Kim, Chang-Guhn;Kim, Dae-Weung;Park, Moo-Rim
    • Nuclear Medicine and Molecular Imaging
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    • v.43 no.5
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    • pp.369-385
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    • 2009
  • In this paper, the authors intended to summarize briefly the features of lymphoma with regard to $^{18}F$-FDG PET for assessment of tumor response to therapy, to describe why assessment of treatment response should be performed, to review what method so far has been used in monitoring treatment response, to discuss what limitations of morphologic imaging criteria for assessing tumor response are, in compared with $^{18}F$-FDG PET, and to introduce recently proposed criteria for assessing tumor response in malignant lymphoma. And also the authors emphasize the need to understand the characteristics of diagnostic performance of $^{18}F$-FDG PET in several clinical settings in order to interpret $^{18}F$-FDG PET results appropriately, and to encourage the use of interval likelihood ratio to enhance clinical implications of test results which, in turns, allows referring physicians to understand the meaning of interpretation with easy. Until recently, treatment response has been assessed according to the morphologic criteria. Metabolic imaging with $^{18}F$-FDG PET was adopted to have important role for treatment assessment in IWC+PET criteria proposed recently by IHP. To accomplish this role, we should perform and interpret $^{18}F$-FDG PET according to IWC+PET criteria. It is important for referring physicians to understand the various limitations of $^{18}F$-FDG PET and pitfalls in PET interpretation, and to understand that clinical information are needed by nuclear medicine physicians to optimize the interpretation of $^{18}F$-FDG PET.

An Organizational Diagnostic Model for Food Service Firms Using the Delphi Technique (외식기업 조직진단모형 개발에 관한 연구 - 델파이 기법으로 -)

  • Paik, Yu-Tae;Choi, Serin;Choi, Kyu-Wan
    • Journal of the Korean Society of Food Culture
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    • v.28 no.3
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    • pp.282-292
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    • 2013
  • The purpose of this study is to identify a suitable organizational diagnostic model for analyzing the management efficiency of food service firms. We used the three-iteration Delphi technique on a panel of 19 business employees, 7 industry experts, and 4 employees in the food service industry. A total of 36 assessment indicators were developed through this panel, with numerous major findings. First, it is important to evaluate the leadership qualities of employees in terms of their motivation and competency. Second, it is important to evaluate the ability of employees to interface well with other employees. Third, it is important to evaluate and manage the brand image recognized by customers. Fourth, it is important to evaluate the fairness and regularity of the rewards given for an excellent job performance. Fifth, it is important to evaluate the level of communication and information distribution in the organizational culture. Last, but not least, it is important to evaluate the transparency and fairness of an organization in its human resource management (HRM) and the efficiency of its organizational structure. In conclusion, this study empirically shows how food service firms can develop an organizational diagnostic model to increase their managerial efficiency.

The Role of Functional Imaging Techniques in the Dementia (치매 환자에서 기능 영상법의 역할)

  • Ryu, Young-Hoon
    • The Korean Journal of Nuclear Medicine
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    • v.38 no.3
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    • pp.209-217
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    • 2004
  • Evaluation of dementia in patients with early symptoms of cognitive decline is clinically challenging, but the need for early, accurate diagnosis has become more crucial, since several medication for the treatment of mild to moderate Alzheimer' disease are available. Many neurodegenerative diseases produce significant brain function alteration even when structural imaging (CT or MRI) reveal no specific abnormalities. The role of PET and SPECT brain imaging in the initial assessment and differential diagnosis of dementia is beginning to evolve vapidly and growing evidence indicates that appropriate incorporation of PET into the clinical work up can improve diagnostic and prognostic accuracy with respect to Alzheimer's disease, the most common cause of dementia in the geriatric population. in the fast few years, studios comparing neuropathologic examination with PET have established reliable and consistent accuracy for diagnostic evaluations using PET - accuracies substantially exceeding those of comparable studies of diagnostic value of SPECT or of both modalities assessed side by side, or of clinical evaluations done without nuclear imaging. This review deals the role of functional brain imaging techniques in the evaluation of dementias and the role of nuclear neuroimaging in the early detection and diagnosis of Alzheimer's disease.