• Title/Summary/Keyword: Positive Sensitivity

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Association between Earlobe Crease and Hypertension in the Auricular Point Diagnosis (이혈(耳穴)진단에서 Earlobe Crease와 고혈압의 관련성)

  • Kang, Mun-Su;Kim, Jin-Hui;Kim, Lak-Hyung
    • Korean Journal of Acupuncture
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    • v.29 no.4
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    • pp.616-622
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    • 2012
  • Objectives : The objective of this study was to evaluate the correlation between earlobe crease(ELC) and Hypertension(HTN) in the auricular point diagnosis. Methods : 140 patients who were admitted the Jeongeup City Geriatric Hospital were examined for the presence or absence of ELC and HTN. The one examined the ELC of patients and the other examined the presence of hypertension. The presence of right ELC, left ELC, right or left ELC, and right and left ELC were respectively compared with the presence of HTN. Chi-square test was used to analyze the correlation between ELC and HTN. Results : The presence of right ELC was significantly related to presence of HTN(p=0.001). The sensitivity, specificity, and positive and negative predictability of ELC for diagnosis of HTN were 0.755, 0.524, 0.787, and 0.478. The presence of left ELC was significantly related to presence of HTN(p=0.002). The sensitivity, specificity, and positive and negative predictability of ELC for diagnosis of HTN were 0.745, 0.524, 0.785, and 0.468. The presence of right or left ELC was significantly related to presence of HTN(p<0.001). The sensitivity, specificity, and positive and negative predictability of ELC for diagnosis of HTN were 0.806, 0.500, 0.790, and 0.525. The presence of right and left ELCs was significantly related to presence of HTN (p=0.007). The sensitivity, specificity, and positive and negative predictability of ELC for diagnosis of HTN were 0.694, 0.548, 0.782, and 0.434. Conclusions : These results show that the presence of ELC is significantly associated with hypertension.

Evaluation of Urinary Antigen Test for Rapid Diagnosis of $Streptococcus$ $pneumoniae$ in Community-Acquired Pneumonia Patients

  • Yu, Mi-Young;Kim, In-Sik;Kang, Sang-Sun;Cha, Beong-Hun;Hyun, Sung-Hee
    • Biomedical Science Letters
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    • v.17 no.4
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    • pp.355-361
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    • 2011
  • We evaluated the performance of the NOW $Streptococcus$ $pneumoniae$ urinary antigen test, standard culture and polymerase chain reaction for detecting $S.$ $pneumoniae$. The urinary antigen test of pneumonia patients represented sensitivity at 72% and specificity at 79%. The results of PCR were targeting for autolysin ($lyt$A), pneumolysin ($ply$), and spn9828. The $lyt$A sensitivity and specificity stood at 56% and 87% respectively while $ply$ sensitivity reported 83% and specificity was 47%, sensitivity and specificity of spn9828 stood at 83% and 73% respectively. The results of urinary antigen test and three genes were all statistically meaningful within $P$ <0.05. When the urinary antigen test of $S.$ $pneumoniae$ was positive, the three kinds of genes were also likely to be positive. According to the result of urinary antigen test, the results of PCR presented a meaningful difference ($P$ <0.05). Especially, the urinary antigen test of $S.$ $pneumoniae$ was likely to be positive ($P$ <0.05) when more than two genes were positive in PCR results.

The Detection of PVC based Rhythm Analysis and Beat Matching (리듬분석과 비트매칭을 통한 조기심실수축(PVC) 검출)

  • Jeon, Hong-Kyu;Cho, Ik-Sung;Kwon, Hyeog-Soong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.13 no.11
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    • pp.2391-2398
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    • 2009
  • Premature ventricular contractions are the most common of all arrhythmias and may cause more serious situation in some patients. Therefore, the detection of this arrhythmia becomes crucial in the early diagnosis and prevention of possible life threatening cardiac diseases. Most of the algorithms detecting PVC reported in literature is not always feasible due to the presence of noise and P wave making the detection difficult, and the process being time consuming and ineffective for real time analysis. To solve this problem, a new approach for the detection of PVC is presented based rhythm analysis and beat matching in this paper. For this purpose, the ECG signals are first processed by the usual preprocessing method and R wave was detected. The algorithm that decides beat type using the rhythm analysis of RR interval and beat matching of QRS width is developed. The performance of R wave and PVC detection is evaluated by using MIT-BIH arrhythmia database. The achieved scores indicate sensitivity of 99.74%, positive predictivity of 99.81% and sensitivity of 93.91%, positive predictivity of 96.48% accuracy respectively for R wave and PVC detection.

Evaluation of Validity of the Korean Triage and Acuity Scale (한국형 응급환자 분류도구의 타당도 평가)

  • Choi, Heejung;Ok, Jong Sun;An, Soo Young
    • Journal of Korean Academy of Nursing
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    • v.49 no.1
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    • pp.26-35
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    • 2019
  • Purpose: The aim of this study was to identify the predictive validity of the Korean Triage and Acuity Scale (KTAS). Methods: This methodological study used data from National Emergency Department Information System for 2016. The KTAS disposition and emergency treatment results for emergency patients aged 15 years and older were analyzed to evaluate its predictive validity through its sensitivity, specificity, positive predictive value, and negative predictive value. Results: In case of death in the emergency department, or where the intensive care unit admission was considered an emergency, the sensitivity, specificity, positive predictive value, and negative predictive value of the KTAS were 0.916, 0.581, 0.097, and 0.993, respectively. In case of death in the emergency department, or where the intensive or non-intensive care unit admission was considered an emergency, the sensitivity, specificity, and positive predictive value, and negative predictive value were 0.700, 0.642, 0.391, and 0.867, respectively. Conclusion: The results of this study showed that the KTAS had high sensitivity but low specificity. It is necessary to constantly review and revise the KTAS level classification because it still results in a few errors of under and over-triage. Nevertheless, this study is meaningful in that it was an evaluation of the KTAS for the total cases of adult patients who sought help at regional and local emergency medical centers in 2016.

Rapid Identification of Candida albicans Using Colorimetric Method

  • Kim, Shin Young;Park, Hun-Hee
    • Korean Journal of Clinical Laboratory Science
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    • v.45 no.4
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    • pp.149-153
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    • 2013
  • Candidiasis is a fungal infection of the most common causes; generally, opportunistic infections occur often in patients with weakened immune systems. Because of high rates in fungal infection patients and increasing frequency of being isolated from clinical materials, quickly identifying of Candida albicans is critical. By identifying 404 yeast cell strains of referred samples via API 20C kits, NGL and PRO tests and Germ tube (GT) test were conducted and compared. In the 3.0 McFarland yeast cells, 0.1% ${\rho}-nitrophenyl-N-acetyl-{\beta}-D-galactosaminide$ (NGL) and 0.04% ${\small{L}}$-proline ${\beta}$-naphtylamide (PRO) were each put in test tubes and incubated at $35^{\circ}C$ for 15, 30, 60 and 90 minutes. Afterwards, 1 drop of 2% NaOH was applied, and if the color turned yellow; it was positive for NGL test. Afterwards, 1% ${\rho}$-dimethylaminocinnamaldehyde was applied, and if the upper layer turned pink or red, it was positive for PRO test. NGL and PRO tests were conducted for all C. albicans and identified accurately within 30 minutes. In NGL, PRO test, false-positive, negative were not seen, whereas, GT test showed false-positive in 1 strain and false-negative in 3 strains. Therefore, sensitivity and specificity of NGL, PRO tests were 100% and 99.5%, respectively, and positive and negative predictive rate were 99.5% and 100%, respectively. However, GT test sensitivity and specificity were 98.5% and 99.5%, respectively, and positive and negative predictive rates were 99.5% and 98.5%, respectively. In conclusion, NGL, PRO tests are better than GT tests for sensitivity and specificity, therefore, these reliable tests will be useful in clinical laboratories.

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ROC Analysis of Acid Demineralized Artificial Caries (인공치아 우식병소 진단의 ROC 분석)

  • Kang Byung-Cheol
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.27 no.2
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    • pp.7-13
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    • 1997
  • 조직학적으로 유용성이 입증된 산탈회법을 이용한 인접면 비교적 초기 치아 우식의 병소를 형성하여 진단율을 조사하였다. 산 용액을 이용하여 20개 인접면 치아우식을 20개 소구치에 형성하였고, 37개 인접면 치아우식을 30개 대구치에 형성하였다. 건전한 소구치 20개, 대구치 30개를 포함하여 총 96개 치아를 4개씩 나누어 24개의 블록을 형성하였고, 각각 2개 블록의 교합면을 교합시켜서, 교익촬영을 하였다. 촬영 결과를 36명의 치과의사들이인접면 치아우식의 유무를 기록하고, 동시에 및 ROC 분석을 위한 5 개 범주의 판독 기준으로 판독하여 기록하였다. 인접면 치아우식증 유, 무만으로 판독한 결과 진단의 sensitivity는 0.71, specificity는 0.78 이였다. ROC 분석 한 결과의 곡선도표 아래부분의 평균 면적은 약 0.806 이였다. 치아우식증 유무만으로 진단한 결과는 특정한 sensitivity와 specificity 만을 나타내지만, ROC 분석 결과는 주관적 진단 기준과 구별되는 고유의 진단 능력을 표시하는 1-specificity(False Positive)의 변화에 따른 sensitivity(True Positive)의 변화를 연속적으로 나타내어 주었다.

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Validation of Fall Risk Assessment Scales among Hospitalized Patients in South Korea using Retrospective Data Analysis (후향적 자료분석을 통한 낙상위험 사정도구의 타당도 비교: 종합병원 입원 환자를 중심으로)

  • Kang, Young Ok;Song, Rhayun
    • Korean Journal of Adult Nursing
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    • v.27 no.1
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    • pp.29-38
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    • 2015
  • Purpose: The purpose of the study was to validate fall risk assessment scales among hospitalized adult patients in South Korea using the electronic medical records by comparing sensitivity, specificity, positive predictive values, and negative predictive values of Morse Fall Scale (MFS), Bobath Memorial Hospital Fall Risk Assessment Scale (BMFRAS), and Johns Hopkins Hospital Fall Risk Assessment tool (JHFRAT). Methods: A total of 120 patients who experienced fall episodes during their hospitalization from June 2010 to December 2013 was categorized into the fall group. Another 120 patients, who didn't experience fall episodes with age, sex, clinical departments, and the type of wards matched with the fall group, were categorized to the comparison group. Data were analyzed for the comparisons of sensitivity, specificity, positive and negative predictive values, and the area under the curve of the three tools. Results: MFS at a cut-off score of 48 had .806 for ROC curves, 76.7% for sensitivity, 77.5% for specificity, 77.3% for positive predictive value, and 76.9% for negative predictive value, which were the highest values among the three fall assessment scales. Conclusion: The MFS with the highest score and the highest discrimination was evaluated to be suitable and reasonable for predicting falls of inpatients in med-surg units of university hospitals.

The Convergence Effect of Gender, Age, Motivation, Sensitivity and Information Acceptance of Aviation Related Social Media Users (항공 관련 소셜미디어 이용자의 성별, 연령, 이용 동기, 민감도와 정보수용의 융합적 영향 연구)

  • Hong, Ji-Suk
    • Journal of the Korea Convergence Society
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    • v.11 no.3
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    • pp.201-210
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    • 2020
  • The study was conducted to predict usage attitudes and behaviors by combining usage motivation and sensitivity, gender, and age in aviation-related social media. Specifically, the purpose of this study was to examine the effects of social media information acceptance, motivation and sensitivity on gender acceptance by gender and age. To this end, we collected data in an even distribution to prevent gender and age bias among adults aged 20 or older online from April 19 to May 3, 2018. As a result, the lower the female and age in the gender and age had a positive effect on the acceptance of social media information. Motivation for use has a positive effect on information acceptance and sensitivity has a negative effect on information acceptance. Through this, it was found that user class such as gender and age, motivation to use, and sensitivity affect information acceptance. In addition, the negative aspects of the sensitivity factor can be identified, and it is expected to be used as basic data in aviation-related social media marketing strategies.

A Study on Discrimination Sensitivity between EEG Patterns under IAPS(International Affective Picture System) Stimuli (시각 감성평가를 위한 뇌파의 민감성에 대한 연구)

  • Hwang, Min-Cheol;Ryu, Eun-Gyeong;Kim, Cheol-Jung
    • Journal of the Ergonomics Society of Korea
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    • v.17 no.1
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    • pp.1-9
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    • 1998
  • The sensitivity of the emotion evoked visually by IAPS was attempted to be defined using EEG(electroencephalogram). Twenty university students were participated in this study. Their EEG was measured and analyzed in terms of frequency range such as delta, theta, alpha and beta wave. The results showed that alpha increased, but delta and beta decreased with positive emotional progress. Inter-variation between alpha and delta in F4 and beta variation in P3 were indicative of the evaluation sensitivity of human emotion.

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A Study on Strain Rate Sensitivity by Unified Viscoplasticity (점소성 이론에 의한 변형률 속도 민감도에 대한 연구)

  • 호괄수
    • Transactions of Materials Processing
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    • v.13 no.7
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    • pp.600-607
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    • 2004
  • This paper addresses a viscoplastic constitutive model that allows a consistent way of modeling positive and negative rate sensitivities of flow stress concerned with dynamic strain aging. Based on the concept of continuum mechanics, a phenomenological constitutive model includes the use of a yield surface within the framework of unified viscoplasticity theory. To model negative rate sensitivity, rate-dependent back stress is introduced and flow stress in fully developed inelastic deformation regime is thus decomposed into the plastic contribution of rate independency and the viscous one of rate dependency.