• Title/Summary/Keyword: Diagnostic tests

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Validity and Reliability of New Digital Navicular Drop Test Equipment in Young People

  • Park, Jin-Seong;Park, Du-Jin
    • PNF and Movement
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    • 제19권2호
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    • pp.279-285
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    • 2021
  • Purpose: This study aimed to develop new digital navicular drop test (ND-NDT) equipment and to determine its validity and reliability. Methods: A total of 24 healthy male and female adults, who fully understood the purpose of the study and gave consent to participate in the study, were selected as participants. The NDT and ND-NDT were conducted in the dominant foot of the participants in a random order. For the NDT, the position of the navicular bone was marked with a pen first; then, the height of the navicular bone from the ground was measured in both sitting and standing positions. For the ND-NDT, after the sticker-type reflection markers were attached to the position of the navicular bone, the height of the navicular bone from the ground was measured in both sitting and standing positions. To assess the validity of the diagnostic tests, the same examiner measured the height of the medial longitudinal arch (MLA) three times in both the sitting and standing positions. To assess the inter-rater reliability of the ND-NDT, three examiners, in a random order, attached the sticker-type reflection markers to the position of the navicular bone and then measured the height of the MLA in both positions. Results: In the sitting position, the Pearson correlation coefficient (r) between the two diagnostic tests was very high (r = 0.97) and statistically significant. In the standing position, the Pearson correlation coefficient (r) between the two tests was 0.95, which was also statistically significant. The ICC2,1 values in the sitting and standing positions were 0.93 and 0.95, respectively, indicating significantly high inter-rater reliability. Conclusion: The ND-NDT equipment showed very high diagnostic validity, as well as excellent inter-rater reliability, indicating the clinical usefulness of the equipment as a diagnostic system for confirming pes planus.

345kV 의령변전소 예방진단시스템의 데이터 분석 (Data Analysis of the Preventive diagnostic system of the 345kV Eui-Ryung substations)

  • 권동진;강연욱;주병수;이옥배;이호진
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2002년도 하계학술대회 논문집 C
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    • pp.1899-1902
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    • 2002
  • KEPCO is planning to operate 765kV Sin-Tao-Back and Sin-Ga-Pyong substations from 2004. A preventive diagnostic system to obtain the reliability of transformer and GIS is being adopted in 765kV substations. KEPRI has developed a preventive diagnostic system for 765kV substation since 1997. The preventive diagnostic system developed in that project was installed to the 345kV Eui-Ryung substation in June, 2000, and it is under circumstance durability test and operation capacity tests. In this paper, we analyze data of the preventive diagnostic system in 345kV Eui-Ryung substation.

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견인전동기 고정자 권선의 절연상태 분석 (Analysis of Insulation Condition in Traction Motor Stator Windings)

  • 김희동;박영
    • 한국전기전자재료학회논문지
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    • 제20권7호
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    • pp.631-635
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    • 2007
  • Diagnostic, surge and ac breakdown tests are widely used to evaluate the insulation condition of stator winding in traction motor. Diagnostic test included ac current, tan delta and maximum partial discharge. The result of diagnostic test indicates that five kinds of stator windings are good condition. Surge test was peformed to confirm the healthy of turn insulation in stator windings. This test is very easy to detect the turn insulation failure between normal and defect stator windings. After completing the diagnostic test, ac breakdown test has conducted gradually increasing ac voltage, until the stator winding punctured. No. 5 stator windings failed near rated voltage of 18.9 kV The breakdown voltage of No. 1 stator windings was 13.0 kV The ac breakdown voltage of normal winding is about 1.45 times higher than that of defect windings. The failure was located in a line-end coil at the exit from the core slot.

진단검사의 특성 평가를 위한 Receiver Operating Characteristic (ROC) 곡선의 활용 (Application of Receiver Operating Characteristic (ROC) Curve for Evaluation of Diagnostic Test Performance)

  • 박선일;오태호
    • 한국임상수의학회지
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    • 제33권2호
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    • pp.97-101
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    • 2016
  • In the field of clinical medicine, diagnostic accuracy studies refer to the degree of agreement between the index test and the reference standard for the discriminatory ability to identify a target disorder of interest in a patient. The receiver operating characteristic (ROC) curve offers a graphical display the trade-off between sensitivity and specificity at each cutoff for a diagnostic test and is useful in assigning the best cutoff for clinical use. In this end, the ROC curve analysis is a useful tool for estimating and comparing the accuracy of competing diagnostic tests. This paper reviews briefly the measures of diagnostic accuracy such as sensitivity, specificity, and area under the ROC curve (AUC) that is a summary measure for diagnostic accuracy across the spectrum of test results. In addition, the methods of creating an ROC curve in single diagnostic test with five-category discrete scale for disease classification from healthy individuals, meaningful interpretation of the AUC, and the applications of ROC methodology in clinical medicine to determine the optimal cutoff values have been discussed using a hypothetical example as an illustration.

Correlation between Subscapularis Tears and the Outcomes of Physical Tests and Isokinetic Muscle Strength Tests

  • Jang, Ho-Su;Kong, Doo-Hwan;Jang, Suk-Hwan
    • Clinics in Shoulder and Elbow
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    • 제19권2호
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    • pp.90-95
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    • 2016
  • Background: The aim of this study was to investigate the correlation between the type of subscapularis tendon tears diagnosed during arthroscopy and the outcomes of physical tests and of isokinetic muscle strength tests. Methods: We preoperatively evaluated physical outcomes and isokinetic muscle strength of 60 consecutive patients who underwent an arthroscopic rotator cuff repair and/or subacromial decompression. We divided the patients into five groups according to the type of subscapularis tear, which we classified using Lafosse classification system during diagnostic arthroscopic surgery. Results: When we performed a trend analysis between the outcomes of the physical tests and the severity of subscapularis tendon tear, we found that both the incidence of positive sign of the collective physical tests and that of individual physical tests increased significantly as the severity of the subscapularis tear increased (p<0.001). Similarly, the deficit in isokinetic muscle strength showed a tendency to increase as the severity of subscapularis tear increased, but this positive correlation was statistically significant in only the deficit between those with Lafosse type II tears and those with Lafosse type III tears. Conclusions: Although no single diagnostic test surpasses above others in predicting the severity of a subscapularis tear, our study implies that, as a collective unit of tests, the total incidence of the positive rate of the physical tests and the extent of isokinetic strength deficit may correlate with severity of subscapularis tears.

동형검사를 활용한 진단 및 형성평가가 초등과학 수업에 미치는 효과 : '지구와 달' 단원을 중심으로 (Effects of Diagnostic and Formative Assessment Using Equivalent Test on Elementary Science Classes : Focused on the 'Earth and Moon' Unit)

  • 손준호;김종희
    • 한국과학교육학회지
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    • 제35권4호
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    • pp.619-628
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    • 2015
  • 이 연구의 목적은 동형검사를 활용한 진단 및 형성평가가 초등과학 수업에 어떠한 영향을 미치는지 알아보고자 하였다. 이를 위해 진단 및 형성평가의 문항 및 학업성취도 문항을 개발하여 수업에 적용 및 투입하였는데 연구 결과는 다음과 같다. 첫째, 진단평가를 실시한 과학수업은 학생들의 과학 학업성취도를 향상시켰다. 둘째, 형성평가를 실시한 과학 수업에서는 학생들의 과학 학업성취도 향상에 도움을 주지못하였으며, 자기주도적 학습 태도의 영역 중에서는 학습기회의 개방성 영역만 향상시켰다. 셋째, 진단 및 형성평가 실시한 과학 수업에서는 학생들의 과학 학업성취도를 향상시켰으며, 자기주도적 학습 태도의 영역 중에서 문제 해결 기술을 제외한 학습기회의 개방성, 학습에 대한 주도성, 학습에 대한 애착 영역을 향상시켰다. 따라서 이 연구에서는 학생들의 학업성취도와 자기주도적 학습 태도를 향상시키기 위해서는 형성평가를 진단평가와 함께 실시해야 함을 강조하였다.

문항반응이론을 적용한 융합적 사고 및 문제해결 역량진단 도구의 병렬 단축형 개발 : H 대학교를 중심으로 (Development of Parallel Short Forms of the Convergent Thinking and Problem Solving Inventory Utilizing Item Response Theory : A Case Study of Students in H University)

  • 유현주;남나라
    • 공학교육연구
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    • 제26권3호
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    • pp.35-41
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    • 2023
  • The study was conducted to develop two parallel short forms for the Convergent thinking and Problem solving questionnaires which are part of H University's core competency diagnostic tools, based on Multi-Item Response Theory. Item responses of 2,580 students were analyzed using Graded Response Model(GRM) to determine item difficulty and discrimination of each item. The research results are as follows. Two parrallel short tests were developed for the Convergent thinking questionnaire consisting of 12 items which were originally 17 items. Likewise, the Problem solving questionnaire, which originally consisted of 15 questions, was divided into two parallel short forms, each consisting of 9 items. The reliability of the shortened parallel tests was confirmed through internal consistency analysis, and their similarity to the original tests was established through correlation analysis. This study contributed to quality management of competency-based education and programs at H University by developing shortened tests. Based on the results, implications were presented as well as limitations and discussions.

Accuracy of Combined Visual Inspection with Acetic Acid and Cervical Cytology Testing as a Primary Screening Tool for Cervical Cancer: a Systematic Review and Meta-Analysis

  • Chanthavilay, Phetsavanh;Mayxay, Mayfong;Phongsavan, Keokedthong;Marsden, Donald E;White, Lisa J;Moore, Lynne;Reinharz, Daniel
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권14호
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    • pp.5889-5897
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    • 2015
  • Background: The performance of combined testing visual inspection with acetic acid (VIA) and cervical cytology tests might differ from one setting to another. The average estimate of the testing accuracy across studies is informative, but no meta-analysis has been carried out to assess this combined method. Objective: The objective of this study was to estimate the average sensitivity and specificity of the combined VIA and cervical cytology tests for the detection of cervical precancerous lesions. Materials and Methods: We conducted a systematic review and a meta-analysis, according to the Cochrane Handbook for Systematic Review of Diagnostic Test Accuracy. We considered two cases. In the either-positive result case, a positive result implies positivity in at least one of the tests. A negative result implies negativity in both tests. In the both-positive case, a positive result implies having both tests positive. Eligible studies were identified using Pubmed, Embase, Website of Science, CINHAL and COCRANE databases. True positive, false positive, false negative and true negative values were extracted. Estimates of sensitivity and specificity, positive and negative likelihood (LR) and diagnostic odds ratios (DOR) were pooled using a hierarchical random effect model. Hierarchical summary receiver operating characteristics (HSROC) were generated and heterogeneity was verified through covariates potentially influencing the diagnostic odds ratio. Findings: Nine studies fulfilled inclusion criteria and were included in the analysis. Pooled estimates of the sensitivities of the combined tests in either-positive and both-positive cases were 0.87 (95% CI: 0.83-0.90) and 0.38 (95% CI: 0.29-0.48), respectively. Corresponding specificities were 0.79 (95% CI: 0.63-0.89) and 0.98 (95% CI: 0.96-0.99) respectively. The DORs of the combined tests in either-positive or both-positive result cases were 27.7 (95% CI: 12.5-61.5) and 52 (95% CI: 22.1-122.2), respectively. When including only articles without partial verification bias and also a high-grade cervical intraepithelial neoplasia as a threshold of the disease, DOR of combined test in both-positive result cases remained the highest. However, DORs decreased to 12.1 (95% CI: 6.05-24.1) and 13.8 (95% CI: 7.92-23.9) in studies without partial verification bias for the combined tests in the either-positive and both-positive result cases, respectively. The screener, the place of study and the size of the population significantly influenced the DOR of combined tests in the both-positive result case in restriction analyses that considered only articles with CIN2+ as disease threshold. Conclusions: The combined test in the either-positive result case has a high sensitivity, but a low specificity. These results suggest that the combined test should be considered in developing countries as a primary screening test if facilities exist to confirm, through colposcopy and biopsy, a positive result.

Use of "Diagnostic Yield" in Imaging Research Reports: Results from Articles Published in Two General Radiology Journals

  • Ho Young Park;Chong Hyun Suh;Seon-Ok Kim
    • Korean Journal of Radiology
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    • 제23권12호
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    • pp.1290-1300
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    • 2022
  • Objective: "Diagnostic yield," also referred to as the detection rate, is a parameter positioned between diagnostic accuracy and diagnosis-related patient outcomes in research studies that assess diagnostic tests. Unfamiliarity with the term may lead to incorrect usage and delivery of information. Herein, we evaluate the level of proper use of the term "diagnostic yield" and its related parameters in articles published in Radiology and Korean Journal of Radiology (KJR). Materials and Methods: Potentially relevant articles published since 2012 in these journals were identified using MEDLINE and PubMed Central databases. The initial search yielded 239 articles. We evaluated whether the correct definition and study setting of "diagnostic yield" or "detection rate" were used and whether the articles also reported companion parameters for false-positive results. We calculated the proportion of articles that correctly used these parameters and evaluated whether the proportion increased with time (2012-2016 vs. 2017-2022). Results: Among 39 eligible articles (19 from Radiology and 20 from KJR), 17 (43.6%; 11 from Radiology and 6 from KJR) correctly defined "diagnostic yield" or "detection rate." The remaining 22 articles used "diagnostic yield" or "detection rate" with incorrect meanings such as "diagnostic performance" or "sensitivity." The proportion of correctly used diagnostic terms was higher in the studies published in Radiology than in those published in KJR (57.9% vs. 30.0%). The proportion improved with time in Radiology (33.3% vs. 80.0%), whereas no improvement was observed in KJR over time (33.3% vs. 27.3%). The proportion of studies reporting companion parameters was similar between journals (72.7% vs. 66.7%), and no considerable improvement was observed over time. Conclusion: Overall, a minority of articles accurately used "diagnostic yield" or "detection rate." Incorrect usage of the terms was more frequent without improvement over time in KJR than in Radiology. Therefore, improvements are required in the use and reporting of these parameters.

Prevalence state of canine brucellosis in South Korea during 2015 and 2016

  • Jung, Ji-Youl;Yoon, Soon-Seek;Lee, Seung-Hee;Park, Jung-Won;Lee, Jin-Ju;Her, Moon;So, ByungJae;Kim, Jae-Hoon
    • 대한수의학회지
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    • 제58권3호
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    • pp.125-129
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    • 2018
  • We investigated the prevalence of canine brucellosis in companion and stray dogs between March 2015 and December 2016 and determined the disease characteristics based on the geographic distribution, sex and age of the dogs in South Korea. We conducted a large-scale survey using serological and bacteriological tests. Samples were collected from 2,394 dogs (1,825 companions and 569 strays). Thirty (1.3%) samples were positive for Brucella canis antibodies including 16 (0.9%) from companion dogs and 14 (2.5%) from stray dogs. Two (1.0%) of the 196 samples cultured from the stray dogs were positive. When compared with male dogs, the female companion and stray dogs had a significantly higher prevalence of brucellosis. Moreover, the prevalence of canine brucellosis was significantly higher in stray dogs older than 6 years and the prevalence of the disease in companion dogs was highest in Incheon (2.1%) and Jeolla (2.1%) provinces. Stray dogs from the Daejeon metropolitan area had the highest prevalence of brucellosis (7.9%). National control measures for canine brucellosis have not previously been implemented. Our findings suggest that appropriate screening tests and control measures are necessary to improve the health of dogs and to protect public health in Korea, particularly with the rapid growth of the companion animal industry.