• 제목/요약/키워드: Fair Values

검색결과 197건 처리시간 0.027초

뇌졸중 환자의 근긴장도 평가를 위한 개정된 개정된 Ashworth 척도의 신뢰도 (Reliability of the Modified Modified Ashworth Scale for the Muscle Tone of Poststroke Patients)

  • 김태호;김용욱
    • 대한물리의학회지
    • /
    • 제5권3호
    • /
    • pp.477-485
    • /
    • 2010
  • Purpose : The clinical scale to assess spasticity of muscle was wildly used the modified Ashworth scale (MAS). But reliability of the MAS has been controverted for ambiguity among the grades. The purpose of this study was to establish the inter-rater reliability of the modified MAS (MMAS) translated into Korean in stroke patients. Methods : Twenty-five patients (sixteen men and nine women) with hemiplegia (ten right and fifteen left) were measured by two raters who were physical therapist in the rehabilitation hospital. The raters assessed spasticity of shoulder adductor, elbow flexor, wrist flexor, hip adductor, knee extensor, and ankle plantar flexor in the same patients according to ratings criteria of the MAS and the MMAS. Results : For the inter-rater reliability of the MAS, two raters agreed on 57.3% and the Kappa values were moderate ($\kappa$=0.41) between two rater. The inter-rater reliability of the MAS was fair for the wrist flexor and the hip adductor and moderate for the other muscles. The intra-rater reliability was good for the shoulder adductor and the knee extensor and moderate for the other muscles. For the inter-rater reliability of the MMAS, two raters agreed on 84.7% and the Kappa values were good ($\kappa$=0.78) between two rater. The inter-rater reliability of the MMAS was moderate for the hip adductor, and good for the shoulder adductor and the wrist flexor, and very good for the other muscles. The intra-rater reliability was good for the wrist flexor and the hip adductor and very good for the other muscles. Conclusion : This study suggests that the MMAS translated into Korean is reliable test scale for the spasticity with stroke patients in the clinical field.

Level of Agreement and Factors Associated With Discrepancies Between Nationwide Medical History Questionnaires and Hospital Claims Data

  • Kim, Yeon-Yong;Park, Jong Heon;Kang, Hee-Jin;Lee, Eun Joo;Ha, Seongjun;Shin, Soon-Ae
    • Journal of Preventive Medicine and Public Health
    • /
    • 제50권5호
    • /
    • pp.294-302
    • /
    • 2017
  • Objectives: The objectives of this study were to investigate the agreement between medical history questionnaire data and claims data and to identify the factors that were associated with discrepancies between these data types. Methods: Data from self-reported questionnaires that assessed an individual's history of hypertension, diabetes mellitus, dyslipidemia, stroke, heart disease, and pulmonary tuberculosis were collected from a general health screening database for 2014. Data for these diseases were collected from a healthcare utilization claims database between 2009 and 2014. Overall agreement, sensitivity, specificity, and kappa values were calculated. Multiple logistic regression analysis was performed to identify factors associated with discrepancies and was adjusted for age, gender, insurance type, insurance contribution, residential area, and comorbidities. Results: Agreement was highest between questionnaire data and claims data based on primary codes up to 1 year before the completion of self-reported questionnaires and was lowest for claims data based on primary and secondary codes up to 5 years before the completion of self-reported questionnaires. When comparing data based on primary codes up to 1 year before the completion of selfreported questionnaires, the overall agreement, sensitivity, specificity, and kappa values ranged from 93.2 to 98.8%, 26.2 to 84.3%, 95.7 to 99.6%, and 0.09 to 0.78, respectively. Agreement was excellent for hypertension and diabetes, fair to good for stroke and heart disease, and poor for pulmonary tuberculosis and dyslipidemia. Women, younger individuals, and employed individuals were most likely to under-report disease. Conclusions: Detailed patient characteristics that had an impact on information bias were identified through the differing levels of agreement.

Preliminary Ecological Assessments of Water Chemistry, Trophic Compositions, and the Ecosystem Health on Massive Constructions of Three Weirs in Geum-River Watershed

  • Ko, Dae-Geun;Choi, Ji-Woong;An, Kwang-Guk
    • Journal of Ecology and Environment
    • /
    • 제39권1호
    • /
    • pp.61-70
    • /
    • 2016
  • Major objectives of the study were to analyze chemical and biological influences of the river ecosystem on the artificial weir construction at three regions of Sejong-Weir (Sj-W), Gongju-Weir (Gj-W), and Baekje-Weir (Bj-W) during 2008-2012. After the weir construction, the discharge volume increased up to 2.9 times, and biological oxygen demand (BOD) and electrical conductivity (EC) significantly decreased (p < 0.05). Also, the decrease of total phosphorus (TP) was also evident after the weir construction, but still hyper-eutrophic conditions, based on criteria by , were maintained. Multi-metric model of Index of Biological Integrity (IBI) showed that IBI values averaged 21.0 (range: 20-22; fair condition) in the Bwc, and 14.3 (range: 12-18; poor condition) in the Awc. The model values of IBI in Sj-W and Gj-W were significantly decreased after the weir construction. The model of Self-Organizing Map (SOM) showed that two groups (cluster I and cluster II) of Bwc and Awc were divided in the analysis based on the clustering map trained by the SOM. Principal Component Analysis (PCA) was similar to the results of the SOM analysis. Taken together, this research suggests that the weir construction on the river modified the discharge volume and the physical habitat structures along with distinct changes of some chemical water quality. These physical and chemical factors influenced the ecosystem health, measured as a model value of IBI.

Prediction of the Concentration of Diphenylhydantion in the Brain Using a Physiological Pharmacokinetic Hybrid Model

  • Song, Sae-Heum;Shim, Chang-Koo;Lee, Min-Hwa;Kim, Shin-Keun
    • Archives of Pharmacal Research
    • /
    • 제13권3호
    • /
    • pp.221-226
    • /
    • 1990
  • A physiological pharmacokinetic hybrid model was developed in order to predict the disposition kinetics of diphenylhydantoin (DPH) in the brain from the plasma conentration data of DPH. The model was constructed under the assumptions of well-stirred, plasma flow-limited and lienar tissue diposition kinetics of DPH. DPH was administered intravenously to the rats at a dose of 10 mg/kg together with/without sodium salicylate (SA;10 mg/kg) and the DPH concentrations in the plasma and brain were determined. Plasma protein binding of DPH concentrations in the plasma and brain were determined. Plasma protein binding of DPH was also determined using equilibrium dialysis technique. Then the model was tested for its predictability of DPH concentrations in the brian from the plasma data of DPH. It was found that the predicted values of DPH concentrations in the brian were in fair agreement with the experimental values in the rats of both treatments. The 2-fold increase in the brain concentration of DPH by SA-coadinistration was predicted well from the plasma concentration and plasma free fraction ($f_p$) data of DPH using the model. Therefore, the hybrid model was concluded to be very useful for the prediction of the concentrations of DPH in the brain from the plasma concentration data. Finally, DPH concentrations in the human brian was calculated using this model from plasma DPH data in the literature, yet the scale-up of this model to the human is not convinced.

  • PDF

Mitigating Uncertainty in the Boardroom: Analysis to Financial Reporting for Financial Risk COVID-19

  • JABBAR, Ali Khazaal;ALMAYYAHI, Aymen Raheem Abdulaali;ALI, Ibrahem Mohamed;ALNOOR, Alhamzah
    • The Journal of Asian Finance, Economics and Business
    • /
    • 제7권12호
    • /
    • pp.233-243
    • /
    • 2020
  • This study aims to assess the impacts of COVID-19 on International Financial Reporting Standards (IFRS), because of the problems associated with changing and amending the financial reports according to the policies established based on the circumstances of the epidemic. The study sample targeted several international financial reports that were amended based on epidemic conditions. The revised financial reporting period provides standardized reporting procedures for financial transactions worldwide despite the pandemic. Therefore, IFRS has been used to reduce challenges in financial reporting by monitoring the duration of social distancing while reporting matters to eliminate confirmed uncertainty and judgment. After analyzing the data obtained through global search engines, the results conducted provided evidence that COVID-19 affects financial reporting in companies around the world. Therefore, companies face difficulty reporting finances based on the challenging environment that the pandemic represents. Besides, IFRS fair value measurements consider the prices that were predicted according to current market values. The contexts of the changing the standards by IFRS to curb the effects of the COVID19 financial reporting was attained through evaluation of the online files that were randomly selected and filtered to obtain valid data.

시뮬레이션기반 실습 시 간호학생의 간호사정 및 의사소통 기술에 대한 표준화 환자와 교수자 간의 평가 일치도 (Comparison of Standardized Patient and Faculty Agreement in Evaluating Nursing Students' Assessment and Communication Skills)

  • 김영주
    • 기본간호학회지
    • /
    • 제24권3호
    • /
    • pp.189-199
    • /
    • 2017
  • Purpose: This study was conducted to examine the level of agreement between a standardized patient (SP) and a faculty member in the evaluation of nursing students' assessment and communication skills. Methods: Participants were 51 third year nursing students in a simulation practice of 'nursing care for a patient admitted with chest pain'. Using a 30-item checklist and a 16-item communication tool, a SP and faculty member evaluated the students' assessment and communication skills during the simulation. Results: The average values for percent agreement and kappa statistic for nursing assessment between the two evaluators were 85.3% and .48 respectively. Twenty of thirty items evaluating assessment skill had above moderate agreement (${\geq}.41$) by kappa between the evaluators. Seven of sixteen items evaluating communication and interpersonal skills showed above fair agreement (${\geq}.40$) between the two evaluators, which was measured by intraclass correlation coefficient. Conclusion: The findings show that the evaluation of the SP was consistent with those of the faculty member to a moderate degree. Clear guidelines for evaluating criteria and optimal time and effort for SP training are necessary to increase the reliability of standardized patients as evaluators in simulation-based nursing education.

퍼지추론을 이용한 쌀밥의 관능평가 (Sensory Evaluation of Cooked Rice with Fuzzy Reasoning)

  • 이승주;노완섭;최유철
    • 한국식품과학회지
    • /
    • 제26권6호
    • /
    • pp.776-780
    • /
    • 1994
  • 쌀밥의 관능검사 결과분석에 퍼지추론을 적용하였다. 관능검사시 쌀밥의 관능적 요인인 조직감, 맛, 냄새 및 외관이 각각 쌀밥 기호도의 결정에 역할하는 정도(기여도)를 매우중요, 요, 보통, 경시, 매우경시의 택일으로서 평가하도록 하였으며, 주어진 쌀밥 시료에 대하여 각관능척 요인의 기호도를 매우우량, 우량, 보동, 불량, 매우불량의 택일로서 평가하도록 하였다. 퍼지추론 과정으로 먼저 전체기호도에 대한 일반적인 관능적 요인의기여도를 추론하고, 시료에 대한 관능적 요인의 기호도틀 추론된 기여도와 퍼지합성하여 결과적으로 전체기호도를 추론하였다.

  • PDF

TCP-GT: A New Approach to Congestion Control Based on Goodput and Throughput

  • Jung, Hyung-Soo;Kim, Shin-Gyu;Yeom, Heon-Young;Kang, Soo-Yong
    • Journal of Communications and Networks
    • /
    • 제12권5호
    • /
    • pp.499-509
    • /
    • 2010
  • A plethora of transmission control protocol (TCP) congestion control algorithms have been devoted to achieving the ultimate goal of high link utilization and fair bandwidth sharing in high bandwidth-delay product (HBDP) networks. We present a new insight into the TCP congestion control problem; in particular an end-to-end delay-based approach for an HBDP network. Our main focus is to design an end-to-end mechanism that can achieve the goal without the assistance of any network feedback. Without a router's aid in notifying the network load factor of a bottleneck link, we utilize goodput and throughput values in order to estimate the load factor. The obtained load factor affects the congestion window adjustment. The new protocol, which is called TCP-goodput and throughput (GT), adopts the carefully designed inversely-proportional increase multiplicative decrease window control policy. Our protocol is stable and efficient regardless of the link capacity, the number of flows, and the round-trip delay. Simulation results show that TCP-GT achieves high utilization, good fairness, small standing queue size, and no packet loss in an HBDP environment.

폴리리신을 함유한 Streptomyces albulus 배양액의 김치미생물 성장억제 효과 (Effects of Crude ε-poly-L-lysine in Streptomyces albulus Broth on Suppression of Microbial Growth in Korean Kimchi)

  • 김광섭;이갑배;선흥석;안치민;박찬영
    • 한국산업융합학회 논문집
    • /
    • 제2권1호
    • /
    • pp.91-95
    • /
    • 1999
  • The Streptomyces albulus broth, when the polylysine in the broth, that has powerful growth inhibiting effect far many microbes, is its maximum, had filtered off the cells, to use the broth as preservative for keeping favorable taste of Korean Kimchi. Some microorganisms in their specific growth medium, known to deteriorate the useful nutrient of the Kimchi, has grown with different amounts of the inhibiting broth, to determine the minimum growth inhibition concentration. The ${\varepsilon}$-poly-L-lysine had been identified from the IR spectroscopic analysis of the purified poly lysine of the broth from ion exchange chromatographic separation. The content of the polylysine had been determined by methyl orange decoloration effect. Though the minimum inhibition concentration, evaluated by the naked eye based on the conventional method measuring the turbid feature after 18 hours of culture, has different values each other, the observed effects confirmed that the crude broth could be used as a natural preservative for the Kimchi in extending the fair taste.

  • PDF

기술거래 주체별 옵션가치를 반영한 기술가치평가방법 (Technology Valuation Reflecting Option Value Among Technology Transaction Subjects)

  • 김태완;윤재홍
    • 경영과학
    • /
    • 제31권2호
    • /
    • pp.71-86
    • /
    • 2014
  • There is a growing need for technology transactions between the technology providers, who develop technologies, and the technology consumers, who purchase and commercialize technologies, to be smooth, when technologies, as intangible assets, are traded as items that can be purchased and sold. In response to these challenges, this study examines new approaches to assessing the fair market value of technologies. Because corporations are the main force behind technology development and commercialization in the existing business environment, applying one valuation method to technology assets is viable; however, as the subjects of technology development and technology commercialization are separate, the need for price negotiations between the subjects of technology transaction has grown. Moreover, as the investigations into and the application of transaction prices have been performed separately by technology providers, technology consumers, and technology assessment financial institutions, the research on technology valuation methods has shown that there are differences in perceived transaction prices between the subjects involved. This research presents a new method, appropriate to technology transactions; unlike existing methods, it grants option values to the technology provider and newly defined key variables to the technology consumer.