• Title/Summary/Keyword: Kappa index

Search Result 155, Processing Time 0.031 seconds

Development of the Home Fall Prevention Checklist for Community-dwelling Older Adults (재가노인 낙상환경위험 평가도구 개발)

  • Park, Eunok;Jang, Insun
    • The Journal of the Korea Contents Association
    • /
    • v.13 no.5
    • /
    • pp.354-365
    • /
    • 2013
  • The purpose of the study was to develop the home fall prevention checklist for community-dwelling older adults. And the validity and reliability of the checklist were tested. The preliminary questions were developed through content validity by twenty experts using the CVI(Content Validity Index). Following the establishment of content validity, 52 items of the checklist were developed. Responses of 299 community-dwelling older adults were analyzed to further establish both reliability and validity of the checklist. Reliability using cohen's kappa coefficient and test-retest reliability(rate of concordance(%)), and construct validity using known-group comparison technique were tested. 51 items were over 0.80 in the cohen's kappa coefficient of the checklist, 45 items were over 80.0% in test-retest reliability. Construct validity was established by known-group comparison(t=3.50, p=.001). Validity and reliability of the checklist were confirmed. This checklist will help further studies to develop more safe environment to prevent falls.

The Measures of Agreement between the Classification Standard of BMI and that of CDRS in Women university students (여자대학생의 BMI와 신체상평정척도(CDRS) 분류기준에 대한 일치도 검정)

  • Nam, Duck-Hyun
    • Journal of Digital Convergence
    • /
    • v.14 no.2
    • /
    • pp.519-527
    • /
    • 2016
  • This research aims at investigating the measures of agreement between BMI classification standard and that of 9-point contour drawing rating scale(CDRS), verifying their usefulness for the application to the filed, examining university students' substantial understanding of their bodies, and offering correct information regarding the distorted recognition of their bodies. In order to examine the measures of agreement between the classification standard of BMI and that of CDRS, and the women university students' recognition of their body images depending on BMI, Cross tabulation was carried out, and ${\chi}^2$, Spearman rank correlation coefficient and kappa statistics were calculated. As the analysis results, the classification standards of CDRS and BMI judged by general female college students showed statistically the correlation was high with ${\rho}=.719$(p<.001) and an average level of confirmity with ${\kappa}=.506$(p<.001). Based on these results, regarding body shape, sizes and shapes according to racial characteristics need to be controlled later.

Reliability and Validity of the Korean Version of the Functional Movement Screen (한국판 기능적 동작 검사의 신뢰도와 타당도)

  • An, Seung-Heon;Lee, Je-Hoon
    • The Journal of Korean Physical Therapy
    • /
    • v.22 no.5
    • /
    • pp.83-93
    • /
    • 2010
  • Purpose: The purpose of this study was to determine the reliability and validity of the Functional Movement Screen (FMS) for assessing Korean athletes. Methods: A total of 48 patients (37 males and 11 females) participated in this study. Data were acquired after translation of the FMS from English to Korean and cross-cultural adaptation of the this questionnaire. To determine inter-rater reliability, the relationship between the FMS scores obtained by two raters was evaluated using the Kappa coefficient, which was in total agreement with the Intra-Correlation Coefficient (ICC3,1). Concurrent validity was examined by correlating the FMS scores with the Oswestry disability index (ODI) scores and Visual analogue scale (VAS) scores. Results: The raters demonstrated excellent agreement on 7 (above 90%) of the 17 test (72.9 to 97.9%) components. Substantial agreement was seen in 11 of the 17 tests. Two components of the In-line lunge and rotatory stability tests demonstrated moderate agreement. It showed good inter-rater reliability: the Kappa coefficients ranged from 0.42 to 0.97. ICC3,1=0.42~0.99 and 0.93 (total FMS score). Cronbach's alpha for FMS was 0.80. It was not correlated with ODI or VAS. Conclusion: The Korean version of the FMS is a reliable instrument for measuring movement patterns of Korean athletes and for making decisions related to interventions for performance enhancement.

The Effect of Bee Venom on Acetylcholine Esterase Activity during Scopolamine Induced Memorial Impairment (봉약침액(蜂藥鍼液)이 Scopolamine으로 기억장애(記憶障碍) 유발(誘發) 시 Acetylcholine Esterase 활성에 미치는 영향(影響))

  • Song, Jeong-Yeol;Song, Ho-Sueb
    • Journal of Acupuncture Research
    • /
    • v.23 no.3
    • /
    • pp.117-127
    • /
    • 2006
  • Alzheimer's disease (AD) is the most prevalent form of neurodegenerative disease associated with aging in the human population. This disease is characterized by the following 4 structural changes : Atrophy of the Cortex, Parasympathetic, and other neural cells, the existence of Neurofibrillary tangles (NFTs), and the accumulation of Senile plaques. NFTs and Senile plaques is known to be the index of this disease. Senile plaques disturbs the neutro transmission and depletes of Acetylcholine. So, Recovery of Acetylcholine is the primal objective for treating Alzheimer's disease. So, Inhibiting the activity of Acetylcholine Esterase (AChE), which causes the hydrolysus of acetylcholine into choline and acetate, can be seen as a key role for treating Alzheimer's disease. Increasing body of evidence has been demonstrated that Bee Venom Acupuncture (BV) could compete with complex protein involving in multiple step of $NF-_{\kappa}B$ activation and exert the anti-inflammatory potential of combined inhibition of the prostanoid and nitric oxide synthesis systems by inhibition of IKK and $NF-_{\kappa}B$. BV dose-dependently attenuated Scopolamine-induced Acetylcholine esterase activities in cerebral cortex and hippocampus of the mice brain. This study therefore suggests that BV acupuncture method may be useful for prevention of development or progression of AD.

  • PDF

Hypertension awareness and the related factors by age (고혈압 인지율의 평가와 연령별 특성)

  • Chun, Heeran;Kim, Il-Ho
    • Korean Journal of Health Education and Promotion
    • /
    • v.33 no.5
    • /
    • pp.37-46
    • /
    • 2016
  • Objectives: This study examines the awareness of hypertension and its age-specific characteristics among Korean adults. Methods: Data were derived from the fourth Korean National Health Examination and Nutrition Survey (KNHANES IV, 2007-2009) of 14,637 subjects aged 30 and older. Self-reported prevalence of hypertension (HTN) was compared with measured arterial systolic/diastolic blood pressure, employing Kappa index, sensitivity, and specificity. Multiple logistic regression analysis was used to determine factors in hypertension awareness by age groups. Results: Kappa agreement between self-reported and measured data in hypertension was high (0.70, 95% CI 0.68-0.71). Awareness by sensitivity was relatively high (65.3%) and specificity was very high (98.8%) for all ages. After age stratification, the results revealed the very lowest level of hypertension awareness among the youngest age group: 29.1% of adults aged 30-49 years, 57.5% of adults aged 45-59 years, and 76.9% of those aged ${\geq}60years$. Predictors for awareness differed by age group. Among adults aged 30-49 years, men exhibited lower awareness to HTN than women. Among middle-aged adults, workers showed lower awareness than non-workers. Among those aged ${\geq}60years$, men and the less educated showed lower awareness to HTN than their counterparts. Conclusions: Age-specific prevention strategies are needed for hypertension management.

Validity and Reliability on the Walking Index for Spinal Cord Injury in the walking assessment of the SCI patient (척수손상환자에서 보행 기능 평가도구인 WISCI II의 타당도와 신뢰도)

  • Lee Hyoung-Soo;Jeong Chan-Ju;Yang Hoi-song;Shin Young-Il
    • The Journal of Korean Physical Therapy
    • /
    • v.16 no.3
    • /
    • pp.142-151
    • /
    • 2004
  • The purpose of this study was to determine the validity and the reliability of the WISCI II to ascertain its value in the walking function evaluation of spinal cord injury patient. The WISCI II consists of 20 variables with a total valus ranging from 6 to 20 score. A group of 23 spinal cord injury patient were included in this study. To determine the validity, kappa statistics between the WISCI II and SCIM II were measured. The result of this study are as follows: 1) In the validity study, the kappa statistics between the WISCI II and SCIM II were 0.79 and 0.84 for an initial total score and a discharge total score respectively, indicating a reasonable agreement between the two test. 2) In the reliability study, the Cronbach's alpha coefficient was 0.83 and 0.95 for total score indicating a good internal consistency. The finding suggest that the WISCI II demonstrated an acceptable validity and reliabilit for the evaluation of walking function capacity of spinal cord injury patient in clinical practice.

  • PDF

Extraction of water body in before and after images of flood using Mahalanobis distance-based spectral analysis

  • Ye, Chul-Soo
    • Korean Journal of Remote Sensing
    • /
    • v.31 no.4
    • /
    • pp.293-302
    • /
    • 2015
  • Water body extraction is significant for flood disaster monitoring using satellite imagery. Conventional methods have focused on finding an index, which highlights water body and suppresses non-water body such as vegetation or soil area. The Normalized Difference Water Index (NDWI) is typically used to extract water body from satellite images. The drawback of NDWI, however, is that some man-made objects in built-up areas have NDWI values similar to water body. The objective of this paper is to propose a new method that could extract correctly water body with built-up areas in before and after images of flood. We first create a two-element feature vector consisting of NDWI and a Near InfRared band (NIR) and then select a training site on water body area. After computing the mean vector and the covariance matrix of the training site, we classify each pixel into water body based on Mahalanobis distance. We also register before and after images of flood using outlier removal and triangulation-based local transformation. We finally create a change map by combining the before-flooding water body and after-flooding water body. The experimental results show that the overall accuracy and Kappa coefficient of the proposed method were 97.25% and 94.14%, respectively, while those of the NDWI method were 89.5% and 69.6%, respectively.

Prognostic Impact of Charlson Comorbidity Index Obtained from Medical Records and Claims Data on 1-year Mortality and Length of Stay in Gastric Cancer Patients (위암환자에서 의무기록과 행정자료를 활용한 Charlson Comorbidity Index의 1년 이내 사망 및 재원일수 예측력 연구)

  • Kyung, Min-Ho;Yoon, Seok-Jun;Ahn, Hyeong-Sik;Hwang, Se-Min;Seo, Hyun-Ju;Kim, Kyoung-Hoon;Park, Hyeung-Keun
    • Journal of Preventive Medicine and Public Health
    • /
    • v.42 no.2
    • /
    • pp.117-122
    • /
    • 2009
  • Objectives : We tried to evaluate the agreement of the Charlson comorbidity index values(CCI) obtained from different sources(medical records and National Health Insurance claims data) for gastric cancer patients. We also attempted to assess the prognostic value of these data for predicting 1-year mortality and length of the hospital stay(length of stay). Methods : Medical records of 284 gastric cancer patients were reviewed, and their National Health Insurance claims data and death certificates were also investigated. To evaluate agreement, the kappa coefficient was tested. Multiple logistic regression analysis and multiple linear regression analysis were performed to evaluate and compare the prognostic power for predicting 1 year mortality and length of stay. Results : The CCI values for each comorbid condition obtained from 2 different data sources appeared to poorly agree(kappa: 0.00-0.59). It was appeared that the CCI values based on both sources were not valid prognostic indicators of 1-year mortality. Only medical record-based CCI was a valid prognostic indicator of length of stay, even after adjustment of covariables($\beta$ = 0.112, 95% CI = [0.017-1.267]). Conclusions : There was a discrepancy between the data sources with regard to the value of CCI both for the prognostic power and its direction. Therefore, assuming that medical records are the gold standard for the source for CCI measurement, claims data is not an appropriate source for determining the CCI, at least for gastric cancer.

Manufacture of Printing and Writing Papers from Old Corrugated Containers (OCC) (Old Corrugated Containers (OCC)로부터 인쇄·필기용지 제조)

  • Lee, Goo;Ahn, Byoung-Jun;Paik, Ki-Hyon
    • Applied Chemistry for Engineering
    • /
    • v.10 no.3
    • /
    • pp.367-373
    • /
    • 1999
  • Increasing consumer demand for recycle of most paper products is challenging manufacturers to use lower value raw materials while maintaining high quality. This study was carried out to investigate the composition of old corrugated containers (OCC) and to manufacture printing and writing papers of over 85% (ISO) brightness by ECF and TCF bleaching from OCC. Fiber length of American old corrugated container (AOCC) was longer than that of Korean old corrugated container (KOCC) in fiber length. The former was composed of unbleached kraft pulp (UKP) of about 80 percentage, the latter about 20 percentage. OCC is feasible for manufacturing of pulps i.e., AOCC is for printing and writing papers and KOCC is for whiteboards, in the aspects of brightness and mechanical properties on the other hand, the cost of manufacturing upgraded papers by OCC is high because of bleaching chemicals. Neverthless, considering various aspects, especially environment, there are many advantages in recycling. In case of the treated AOCC pulp, over 85% (ISO) brightness can be achieved through TCF or ECF bleaching step, while the treated KOCC pulp did not allow high brightness through TCF bleaching. The tensile index of the bleached KOCC pulp was lower than that of the bleached AOCC pulp, but the burst and tear index of KOCC was higher than that of AOCC.

  • PDF

Effect of the Flavonoid Luteolin for Dextran Sodium Sulfate-induced Colitis in NF-${\kappa}B^{EGFP}$ Transgenic Mice (Dextran Sodium Sulfate 유발 장염 모델에서 루테올린의 치료효과)

  • Jang, Byung-Ik
    • Journal of Yeungnam Medical Science
    • /
    • v.23 no.1
    • /
    • pp.26-35
    • /
    • 2006
  • Background: Luteolin, a flavone found in various Chinese herbal medicines is known to possess anti-inflammatory properties through its ability to inhibit various proinflammatory signaling pathways including NF-${\kappa}B$ and p38 MAPK. In this study, we investigated the potential therapeutic effect of luteolin on dextran sodium sulfate (DSS)-induced colitis. Materials and Methods: We used a transgenic mouse model expressing the enhanced green fluorescent protein (EGFP) under the transcriptional control of NF-${\kappa}B$ $cis$-elements. C57BL/6 NF-${\kappa}B^{EGFP}$ mice received 2.5% DSS in their drinking water for six days in combination with daily luteolin administration (1mg/kg body weight, 0.1ml vol, intragastric) or vehicle. NF-${\kappa}B$ activity was assessed macroscopically with a Charge-Coupled Device (CCD) camera and microscopically by confocal analysis. Results: A significant increase in the Disease Activity Index (DAI), histological score (p<0.05), IL-12 p40 secretion in colonic stripe culture (p<0.05) and EGFP expression was observed in luteolin and/or DSS-treated mice compared to water-treated mice. Interestingly, a trend toward a worse colitis (DAI, IL-12p40) was observed in luteolin-treated mice compared to non-treated DSS-exposed mice. In addition, EGFP expression (NF-${\kappa}B$ activity) strongly increased in the luteolin-treated mice compared to control mice. Confocal microscopy showed that EGFP positive cells were primarily lamina propria immune cells. Conclusions: These results suggest that luteolin is not a therapeutic alternative for intestinal inflammatory disorders derived for primary defects in barrier function. Thus, therapeutic intervention targeting these signaling pathways should be viewed with caution.

  • PDF