• Title/Summary/Keyword: Kappa index

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Evaluation of the proximal contact and comparison of methods for measuring in normal dentition (건강한 자연치열에서 인접면 접촉의 평가 및 측정방법에 따른 비교분석)

  • Ji-Eun Kim;Cheong-Hee Lee
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.3
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    • pp.198-203
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    • 2023
  • Purpose. The aim of this study was to evaluate the proximal contact with a dental floss compared to a celluloid strip and a metal strip in normal dental arch and investigate what the most effective method for measuring is. Materials and methods. The subjects of this study was consisted with 20 healthy adults (10 males and 10 females) who had normal dentition. A dentist with more than 5 years of clinical experience evaluated the proximal contacts using a dental floss method, a celluloid strip method, and a metal strip method. Statistical analysis were performed by the use of Mann-Whitney U test. A P-value < .05 was considered statistically significant in all analysis. In addition, in the evaluation of proximal contact using a dental floss, the measurement of proximal contact using a celluloid strip and a metal strip was compared. Results. 80 % of all proximal contact was proper. Proper proximal contact was observed at the posterior area compared to the anterior area (P < .05). And male had proper proximal contact at the anterior area, female had proper proximal contact at the posterior area (P < .05). The consistency analysis between the results of the celluloid strip and the metal strip experiment on the results obtained from the floss using the consistency scale Kappa index shows that using celluloid strip is more advantageous than using the metal strip. Conclusion. Only 80% of all proximal contact was proper. Using celluloid strips with various thickness for evaluating of proximal contact is considered to be helpful for accurate measuring of proximal contact.

RELATIONSHIP BETWEEN DENTOCULT-SM TEST, MICROBIAL ANALYSIS AND DENTAL CARIES IN THE PRE-SCHOOL CHILDREN (미취학아동들의 유치우식경험도와 개량형 Dentocult-SM 검사 및 치면세균막 세균활성과의 관련성)

  • Shin, Doo-Kyo;Kim, Ji-Young;Song, Keun-Bae;Nam, Soon-Heyun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.2
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    • pp.254-262
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    • 2003
  • Dental caries has a multifactorial aetiology in which there is an interplay of three principal factors: the host(saliva and teeth), the microflora(dental plaque) and the substrate(diet), and a fourth factor time. There is no single test that takes into consideration all these factors and can accurately predict an individual's susceptibility to dental caries. The risk of dental caries can be evaluated by analysing and integrating several causative factors. The objective of the study was to clarify the relationship between caries activity and the status of caries of primary teeth and the relationship between the quantity of S. mutans in the dental plaque and the status of dental caries. Forty nine children ages 5 were examined with caries indices, Dentocult-SM and quantity of S. mutans. The results were as follows: All the survey results were similar with national means of 5-6 years Korean preschool children. The deft index of subjects was 5.46 and defs index was 9.81. There was 8.6% of negative, 10.9% of mild, 28.1% of moderate and 52.3% of active results at screening strip test. 8.6% was negative, 17.2% was mild, 33.6% was moderate and 40.6% was active in site strip test. The Spearman correlation coefficient was 0.775, and overall kappa index was 0.496 between screening strip test and site strip test. There also was a high correlation between caries incidence, Dentocult-SM test, and quantity of S. mutans. Dentocult-SM test as a caries activity test is a reliable method for measuring the status of dental caries in primary teeth.

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Bleachability of Hemp Bast Fiber by Chlorine Dioxide (이산화염소 표백조건에 따른 삼 인피섬유의 표백효과)

  • Kim, Jun-Kyu;Choi, Kyoung-Hwa;Seo, Jin-Ho;Lee, Myoung-Ku
    • Journal of Korea Technical Association of The Pulp and Paper Industry
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    • v.47 no.4
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    • pp.109-114
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    • 2015
  • In this study, the effects of chlorine dioxide (D) bleaching conditions on the delignification of hemp bast fiber were elucidated. Chlorine dioxide bleaching was carried out through three stages (DED) and five stages (DEDED), respectively. Applied amounts of chlorine dioxide at $D_1$ and $D_2$ stages were varied to find the optimum bleaching condition. It was found that the optical properties of its handsheet as well as the delignification of hemp bast fiber increased as the concentration of chlorine dioxide at $D_1$ stage increased. It was also notable that the bleachability of the DEDED bleaching stages was slightly more effective than that of the DED bleaching stages. The burst index of the handsheets made with bleached hemp bast fiber was higher than that of the unbleached samples, but the burst index of these samples decreased as their delignification increased. These results indicated that the higher concentration of chlorine dioxide at $D_1$ stage was major factor to improve the bleaching efficiency of hemp bast fiber.

Toxoplasma antibody titers by ELISA and indirect latex agglutination test in pregnant women (ELISA 및 간접 latex 응집반응검사에 의한 임산부의 항 톡소포자충 항체가)

  • 류재숙;민득영
    • Parasites, Hosts and Diseases
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    • v.34 no.4
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    • pp.233-238
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    • 1996
  • The seroepidemiologic studies on antral-ToxopIasma antibody titers were carried out using ELISA and indirect latex agglutination test. Among 899 sera prepared from pregnant women, 39 cases (4.3%) revealed positive reaction and 218 sera from middle school students showed 4 positive reaction (1.8%) by ELISA. By LAT (newly established by National Veterinary Research Institute, Korea), the sera of 7 pregnant women (0.8%) showed positive reaction. When 80 sera showing ≥ 1 :8 by LAT were used for comparing the results obtained from LAT and Toxotest-MT (Eikon Chemical Co., Japans, 7 cases and 8 sera were positive, respectively. All of 11 sera of proven toxoplasmosis patients showed positive reaction in both tests. Overall proportion of agreement between LAT kit and Toxotest-MT was 0.94 (K-index : 0.632, p < 0.01), and LAT was considered to be useful for the screening of toxoplasmosis.

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Personal technique for definite repair of complete unilateral cleft lip: modified Millard technique

  • Han, Kihwan;Park, Jeongseob;Lee, Seongwon;Jeong, Woonhyeok
    • Archives of Craniofacial Surgery
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    • v.19 no.1
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    • pp.3-12
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    • 2018
  • Background: Millard's rotation-advancement repair, which is used by many surgeons, can make a natural philtral column, but most surgeons use a modification of the rotation-advancement flap. The purpose of this article is to introduce a modification utilized by the authors and to provide detailed surgical procedure. Methods: We retrospectively reviewed 82 patients' medical records and presented surgical technique and outcomes. The main features of the authors' strategy are emphasizing horizontal length of the lip, orbicularis oris muscle duplication for improving the definition of the philtral column, overcorrection of domal portion than the non-cleft side in order to compensate for the recurrence during growth. Two judges rated two times the appearance of the patients' nose and lip using Asher-McDade aesthetic index. Intra- and interobserver reliabilities were determined using Cohen's kappa statistics. Results: All patients recovered eventually after surgery; however, two patients have a minor complications (wound infection in one patient, wound disruption due to trauma in the other patient). The improvement of the aesthetic results can be achieved with this modified Millard technique. Total mean scores of the Asher-McDade index was 2.08, fair to good appearance. The intraobserver reliabilities were substantial to almost perfect agreement and the interobserver reliabilities were moderate to almost perfect agreement. Conclusion: We modified Millard method for repair of complete unilateral cleft lip. The surgical outcomes were favorable in long-term follow-up. We hope our technique will serve as a guide for those new to the procedure.

Predictive Value of Malignancy Risk Indices for Ovarian Masses in Premenopausal and Postmenopausal Women

  • Ertas, Sinem;Vural, Fisun;Tufekci, Ertugrul Can;Ertas, Ahmet Candost;Kose, Gultekin;Aka, Nurettin
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.2177-2183
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    • 2016
  • Background: To evaluate the predictive role of a risk of malignancy index in discriminating between benign and malignant adnexal masses preoperatively. Materials and Methods: A total of 408 patients with adnexal masses managed surgically between January 2010 and February 2014 were included. The risk of malignancy indices (RMI) 1, 2, 3 and 4 were calculated using findings for ultrasonography, menopausal status, and CA125 levels. Histopathologic results were the end point. ROC analysis was used for the sensitivity and the specificity of the models. Results: Some 37.6 % of the cases were malignant in the postmenopausal group while 7.9 % were malignant in the premenopausal group. Pelvic pain was the most common complaint, and the majority of the cases were diagnosed at stage 3. The RMI 1, 2, 3 and 4 yielded percentage sensitivities of 76.1, 79.1, 76.1 and 76.1 and specificities of 91.5, 89.1, 90.6, 88.6, respectively. RMI 1 was the most reliable test in the general population according to AUC levels and Kappa statistics. From ROC analysis results of post/premenopausal women, the RMI 1 (cut off: 200) yielded sensitivities of 84.0/60.9 and specificities of 87.7/92.5. With RMI 2 they were 88.6/60.9 and 80.0/91.0, with RMI 3 84.0/60.9 and 87.7/91.8, and with RMI 4 (cut off:400) 81.8/47.8 and 83.6 /44.0. Although test performance of RMI methods were good in a general population and postmenopausal women, the RMI inter-agreement validity was only moderate or fair in premenopausal women. Conclusions: Our study confirms the effectiveness of RMI algorithms in postmenopausal women. However, more sensitive tests are needed for premenopausal women.

How Does Body-Shape Perception Affect the Weight Control Practices?: 2012 Korea National Health and Nutrition Examination Survey (주관적 체형인식이 체중조절방법 선택에 미치는 영향: 2012년 국민건강영양조사 자료를 이용하여)

  • Yoo, Jeong-Eun;Oh, Dal-Seok;Kim, Nam-Kwen
    • Journal of Korean Medicine for Obesity Research
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    • v.14 no.1
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    • pp.29-35
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    • 2014
  • Objectives: This study was to investigate how body-shape perception could influence to weight control practice both in normal and obese group. Methods: We used 2012 Korea National Health and Nutrition Examination Survey to analysis 1) weight control practices of population; 2) consistency between body-shape perception and body mass index; 3) comparison weight control practices between normal group and body mass index (BMI) obese group in perceptional obese group; 4) odds ratio of BMI obese group using herbal drugs for weight control practice in perceptional obese group. Results: We found that study population tends to choose exercise, dietary restriction, meal skip, health functional food, one-food, drug, herbal drug, fasting and self-medication in order of frequency to control weight. The agreement between body-shape perception and BMI within obese group was approximately 64% with 0.40 of Cohen's Kappa coefficient, ranging from 0.384 to 0.423. Within perceptional obese group, choosing each weight control practice methods ratios between normal BMI group and obese BMI group were not significantly different. Within perceptional obese group, obese BMI group showed significant odds ratio (2.58, 95% confidence intervals, 1.38~4.85) than normal BMI group in choosing herbal medication for weight loss when adjusting other variables. Conclusions: We concluded that body-shape perception might be an important factor for choosing weight control program, and roles of Korean medical doctors thought to be enhanced for using herbal medication for weight loss.

Manufacture of Specialty Paper with Hemp Bast Fiber Cultivated in Korea (Part 1) - Characteristics of Hemp-Wood Paper by Soda Pulping - (삼섬유를 이용한 특수기능지 개발 (제 1보) - 소다펄프화 삼 섬유의 수초지 특성 -)

  • Lee, Dah-Hee;Lee, Myoung-Ku
    • Journal of Korea Technical Association of The Pulp and Paper Industry
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    • v.45 no.6
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    • pp.30-35
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    • 2013
  • To conserve wood resources for papermaking, chemical compositions of the hemp (Cannabis sativa L.) bast fiber cultivated in Korea such as holocellulose, ${\alpha}$-cellulose, lignin, alcohol-benzene extractives, hot and cold water extractives, and ash contents were investigated to manufacture the specialty packaging paper effectively. Significantly very low klason lignin content of 3.3% was accomplished by removing of the outer shell of bark. Laboratory soda pulping method which is very useful for the nonwood fiber was adapted, and it was found that there was no significant difference in both kappa number and H-factor between 25% and 30% NaOH charge. Hemp pulp cooked with the laboratory digester in 25% NaOH at $170^{\circ}C$ were mixed together with the wood pulp(NBKP:LBKP=1:1) in order to find the optimum mixture ratio which exhibited acceptable paper strength properties such as tensile index, burst index, and tear strength. When 10% of hemp soda pulps was mixed with 90% of wood pulps comprised of SwBKP and HwBKP (1:1), all physical strength increased significantly. The physical strength decreased as the amount of hemp pulp increased because the cell wall of bast fiber is very thick which causes low conformability and low fiber-fiber bonding. These results showed that paper made of hemp-wood pulp can be used for the specialty packaging paper which requires both the characteristic surface properties and the high physical strength of hemp fiber.

Does Omission of Pharmacy Cost Affect Cost-Efficiency Rankings in Medical Clinics? (약제비 제외가 의원의 진료비 효율성 순위에 영향을 미치는가?)

  • Kang, Hee-Chung;Hong, Jae-Seok
    • Health Policy and Management
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    • v.20 no.4
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    • pp.45-57
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    • 2010
  • Background : If different cost efficiency indexes were informed to the same clinic depending on the inclusion or exclusion of pharmacy cost, it may impair the reliability of provider-profiling system. This study aimed to investigate whether the omission of pharmacy cost affects cost-efficiency rankings in medical clinics. Methods : Data for ambulatory care cost at 23,112 medical clinics were collected from the claims database, which was constructed after review by the Health Insurance Review and Assessment Service (HIRA) of Korea in April 2007. We calculated two types of cost efficiency indexes by inclusion or exclusion of pharmacy cost for a medical clinic. The agreement between the decile rankings of the two indexes was also assessed using the weighted kappa statistic of Landis and Koch. Results : When the cost efficiency index for total cost including pharmacy cost was compared with the index for total cost excluding it, the agreement between the two indexes was only 55%. The agreements between the two indexes were relatively low within specialties which have larger pharmacy volume of total cost and lower correlation between total cost with or without pharmacy cost included than the average level of all the specialties. Conclusion : These results suggest that the omission of pharmacy cost may result in contradictory outcomes that may be confusing to a medical institution and may impair the reliability of provider-profiling systems. It is very important to standardize profiling criteria for the reliability of provider profiling system.

Vegetation Change Detection in the Sihwa Embankment using Multi-Temporal Satellite Data (다중시기 위성영상을 이용한 시화 방조제 내만 식생변화탐지)

  • Jeong, Jong-Chul;Suh, Young-Sang;Kim, Sang-Wook
    • Journal of Environmental Science International
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    • v.15 no.4
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    • pp.373-378
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    • 2006
  • The western coast of South Korea is famous for its large and broad tidal lands. Nevertheless, land reclamation, which has been conducted on a large scale, such as Sihwa embankment construction project has accelerated coastal environmental changes in the embankment inland. For monitoring of environmental change, vegetation change detecting of the embankment inland were carried out and field survey data compared with Landsat TM, ETM+, IKONOS, and EOC satellite remotely sensed data. In order to utilize multi-temporal remotely sensed images effectively, all data set with pixel size were analyzed by same geometric correction method. To detect the tidal land vegetation change, the spectral characteristics and spatial resolution of Landsat TM and ETM+ images were analyzed by SMA(spectral mixture analysis). We obtained the 78.96% classification accuracy and Kappa index 0.2376 using March 2000 Landsat data. The SMA(spectral mixture analysis) results were considered with comparing of vegetation seasonal change detection method.