• 대한안전경영과학회지
• /
• 제15권2호
• /
• pp.243-253
• /
• 2013

This research paper introduces the application and implementation of medical decision metrics that classifies medical decision-making into four different metrics using statistical diagnostic tools, such as confusion matrix, normal distribution, Bayesian prediction and Receiver Operating Curve(ROC). In this study, the metrics are developed based on cross-section study, cohort study and case-control study done by systematic literature review and reformulated the structure of type I error, type II error, confidence level and power of detection. The study proposed implementation strategies for 10 quality improvement activities via 14 medical decision metrics which consider specificity and sensitivity in terms of ${\alpha}$ and ${\beta}$. Examples of ROC implication are depicted in this paper with a useful guidelines to implement a continuous quality improvement, not only in a variable acceptance sampling in Quality Control(QC) but also in a supplier grading score chart in Supplier Chain Management(SCM) quality. This research paper is the first to apply and implement medical decision-making tools as quality improvement activities. These proposed models will help quality practitioners to enhance the process and product quality level.

• 임상간호연구
• /
• 제26권2호
• /
• pp.254-264
• /
• 2020

Purpose: This study was to examine the reliability and validity of the Korean version of the Cornell Assessment of Pediatric Delirium (CAPD). Methods: For testing the reliability of the Korean version of the CAPD, this study calculated the internal consistency (Cronbach's α) and the Interrater Correlation Coefficient (ICC) by comparing the independent assessment results of three nurses in Pediatric Intensive Care Unit (PICU). For testing the validity of the Korean version of the CAPD, the assessment result of the Korean version of the CAPD compared with that of the Diagnostic and Statistical Manual of Mental Disorders V (DSM-V). Receiver Operating Characteristics (ROC) analysis was used for measuring sensitivity and specificity. Results: Overall interrater reliability of the Korean version of the CAPD, ICC was .98 (95% CI .96~.99). Cronbach's α was .91 for eight items. The concordance between the Korean version of the CAPD and psychiatrist's diagnosis was 90.0%. When the Korean version of the CAPD has the cut point of 9, sensitivity was 93.8%, and specificity was 75.0%. The area under the curve indicated by the ROC analysis was .88. Conclusion: The Korean version of the CAPD showed good reliability and validity. This tool will be useful for pediatric delirium screening and management in Korean PICU.

• 한국통신학회논문지
• /
• 제31권11A호
• /
• pp.1159-1166
• /
• 2006

본 논문에서는 수동형 태그 기반 908.5~914MHz RFID 리더기의 수신 감도를 개선하고자 수신부에 서큘레이터, LNA 그리고 SAW필터를 사용하는 개선된 수신부 시스템을 설계하였다. 그리고 시뮬레이션을 통하여 동작 주파수 및 리더기와 태그 상호간 특성에 따른 수신부 성능을 분석하였다. 분석결과 상용 시스템은 24개의 캐패시턴스(C)와 6개의 인덕터(L)를 사용함으로써 감도 손실을 가져왔으나, 본 연구에서는 설계된 시스템은 서큘레이터 사용에 의해 상호 간섭을 최소화할 뿐만 아니라 LNA 사용으로 수신 감도를 크게 향상시키는 결과를 얻을 수 있었다. 또한 SAW 필터에 의해 송 수신부 간섭을 최적화시킴으로써 시스템 감도가 더욱 개선되었음을 확인하였다.

• 한국한의학연구원논문집
• /
• 제17권2호
• /
• pp.107-113
• /
• 2011

Objectives : Sasang typology is extensively studied for the Sasang constitution diagnosis objectification with various data, for example, questionaires, reference materials, etc and analyzed with the several statistical methods. In this study, we used ROC-curve (Receiver Operating Characteristic curve) analysis to diagnose Sasang constitution, which is a kind of epidemiologic research methods and is away from traditional statistical methods. Methods : We collected personality questionnaire which consists of 15 items, from 24 oriental medical clinics. We analyzed the sensitivity and specificity using ROC curve method based on the score of personality questionnaire and also investigated classification accuracy and cut-off value of Sasang constitution. Results : The AUC (area under the ROC curve) value was 0.508 (p=.5511) for Taeeumin, 0.629 (p<.0001) for Soeumin and 0.604(p<.0001) for Soyangin, respectively. so the classification accuracy for Soeumin was highest Soeumin for over 30 points and Soyangin for below 28 points respectively. Conclusions : We suggest that Taeeumin is not classified easily in the ROC-curve analysis. We may classify Soeumin and Soyangin but the accuracy of Sasang constitutional diagnosis is still low.

• 임상간호연구
• /
• 제25권2호
• /
• pp.142-150
• /
• 2019

Purpose: The aim of this study was to evaluate the efficiency of the Humpty Dumpty Falls Scale as one of the falls risk assessment tools, and also to evaluate risk factors as predictors of falls in pediatric patient populations. Methods: In a retrospective, case-control design with data from the electronic medical records of 13 pediatric patients who fell and 1,941 who did not fall before matching and 429 who did not fall after matching by gender, age, diagnosis, and length of stay. Results: All the variables showed no significant differences after matching. At the cutoff score of 13, sensitivity, specificity, negative and positive predictive values were 92.3%, 37.1%, 99.9%, and 0.01%, respectively. The area under the Receiver Operating Characteristics was 0.597. The results from the logistic regression showed that the pediatric inpatient population who had higher risk scores was significantly associated with falls. The odds ratios ranged from 1.31 to 4.71 with 90% confidence interval. Conclusion: The saturation impairments criterion as one of the diagnostic parameter was negatively associated with falls, but the relative risk score was higher than the other criteria. Therefore, it seems that the diagnostic parameter seems to be required to verify results through large sample studies.

• 중환자간호학회지
• /
• 제12권2호
• /
• pp.26-38
• /
• 2019

Purpose : The aims of this study were to identify the incidence of pressure ulcers and to compare the predictive validities of pressure ulcer risk assessment scales among trauma patients. Methods : This was a prospective observational study. A total of 155 patients admitted to a trauma intensive care unit in a university hospital were enrolled. The predictive validity of the Braden, Cubbin & Jackson, and Waterlow scales were assessed based on the sensitivity, specificity, positive and negative predictive values, and area under the receiver operating characteristic curve (AUC). Results : Of the patients, 14 (9.0%) subsequently developed pressure ulcers. The sensitivity, specificity, positive predictive values, and negative predictive values were 78.6%, 75.9%, 24.4%, and 97.3%, respectively, for the Braden scale (cut-off point of 12); 85.7%, 68.8%, 21.4%, and 98.0%, respectively, for the Cubbin & Jackson scale (cut-off point of 26); and 71.4%, 87.2%, 35.7%, and 96.9%, respectively, for the Waterlow scale (cut-off point of 18). The AUCs were 0.88 (Waterlow), 0.86 (Braden), and 0.85 (Cubbin & Jackson). Conclusion : The findings indicate that the predictive validity values of the Waterlow, Braden, and Cubbin & Jackson scales were similarly high. However, further studies need to also consider clinical usefulness of the scales.

• 한국자기공명학회논문지
• /
• 제26권4호
• /
• pp.51-58
• /
• 2022

The baseline flattened NMR spectrum has been achieved by several methodologies including pulse manipulation with a series of phase cycling. The background signal inherent in the probe is also main source of baseline distortion both in solution and solid NMR. The simple direct polarization with 90° pulse flipping the magnetization from the z-axis onto the receiver coil requires the strong rf pulse enough to encompass the wide frequency range to excite the resonance of interest nuclei. Albeit the perfect polarization 90° pulse, the signal from the unwanted magnetic fields such as background signal can not be completely suppressed by suitable phase cycling. Moreover, slowly baseline wiggling signal from the low 𝛾 nuclei is not easy to eliminate with multiple pulse manipulation. So there is still need to contrive the new scheme for that purpose in an adroit manner. In this article new triple pulse excitation schemes for TIP and modified DEPTH pulse sequence are analytically examined in terms of arbitrary phase and flip angle of pulse. The suitable phase cycling for these pulse trains is necessary for the good sensitivity and resolution of the spectrum. It is observed that the ¹³C sensitivity TIP experiment is almost equal to the CP/MAS with modified DEPTH sequence, both of which are applicable to both solid and solution state NMR.

• Clinical Endoscopy
• /
• 제55권2호
• /
• pp.279-286
• /
• 2022

Background/Aims: Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is a standard procedure for obtaining tissue from lesions near the gastrointestinal lumen. However, there is a scarcity of information on the diagnostic performance of EUS-FNA for abdominal lymphadenopathy of unknown causes. To assess the accuracy of EUS-FNA in diagnosing abdominal lymphadenopathy of unknown etiology. Methods: The EUS records of patients with undiagnosed abdominal lymphadenopathy between 2010 and 2015 were reviewed. Results: A total of 42 patients were included in this study. Adequate specimens were obtained from 40 patients (95%). The final diagnoses were metastatic cancer (n=16), lymphoma (n=9), tuberculosis (n=8), inflammatory changes (n=6), and amyloidosis (n=1). For diagnosing malignancy, EUS-FNA had a sensitivity of 84.6%, specificity of 95.7%, positive predictive value of 91.7%, negative predictive value of 91.7%, and area under the receiver operating characteristic curve (AUROC) of 0.901. For the diagnosis of lymphoma, EUS-FNA was 100% accurate when combined with cytologic evaluation and immunohistochemical staining. The diagnostic sensitivity decreased to 75%, whereas the specificity remained 100%, for tuberculosis. The overall AUROC was 0.850. No procedure-related complications occurred. Conclusions: EUS-FNA showed high diagnostic performance for abdominal lymphadenopathy of unknown causes, especially malignancy, lymphoma, and tuberculosis. Therefore, it is a crucial diagnostic tool for this patient population.

• 대한전자공학회논문지TC
• /
• 제45권4호
• /
• pp.9-21
• /
• 2008

이 논문은 위성항법시스템의 문제점들을 해결하기 위하여 GNSS 기반의 RF 수신단과 고정밀 측위 아키텍처 그리고 고감도 측위 아키텍처를 제안하였다. GNSS 기반의 RF 수신단 모델은 기존 GPS와 향후 사용되어질 갈릴레오의 항법정보데이터를 동시에 수신할 수 있는 구조를 가져야 한다. 따라서 GPS의 L1대역인 1575.42MHz와 갈릴레오의 El대역인 1575.42MHz, E5A대역인 1207.1MHz 그리고 E5B대역인 1176.45MHz를 동시에 수신할 수 있는 다중 밴드로 구성하였다. 고정밀 측위 아키텍처는 기존 상관기 구조가 가지고 있는 Early코드, Prompt코드, Late코드를 사용하는 1/2칩 이격 구조가 아닌 Early_early코드, Early_late코드, Prompt코드, Late_early코드, Late_late 코드 구조의 상관기를 제안하였다. 이렇듯 1/4칩 이격의 상관기 구조를 제안하여, 위성항법시스템으로부터 송신되는 신호의 부정확성으로 인해 생기는 C/A코드와의 동기 문제를 해결하였다. C/A코드와의 동기 문제는 차량용 항법시스템의 동기 획득 지연 시간 문제가 발생되어, 수신기의 성능 저하를 가져온다. 다음으로 고감도 측위 아키텍처는 20개의 코럴레이터(correlator)를 사용하여 비대칭 구조로 설계하여 수신 증폭률을 최대화하고, 잡음을 최소화하여 수신율을 향상시키도록 하였다. 위성항법시스템은 동일한 C/A코드를 20번 반복하여 전송한다. 따라서 동일한 C/A코드를 모두 사용할 수 있는 구조를 제안하였고, 적응형 구조를 가지고 있어, 주변 환경에 따라 코럴레이터의 수를 제한할 수 있어, 불필요한 시스템의 동작 지연 시간을 줄일 수 있다. 이러한 구조의 사용으로 동기 획득 지연 시간을 줄일 수 있고, 동기 추적의 연속성을 보장할 수 있다. 이는 위성항법시스템의 수신기 성능을 향상시키는 결과를 가져온다.

• 제어로봇시스템학회논문지
• /
• 제17권1호
• /
• pp.61-67
• /
• 2011

The GPS new civil signal is modulated on the L2 carrier at a frequency of 1227.6MHz. The L2C signal is composed of two multiplexed code signals, which include CM code with a 10,230 chip sequency repeating every 20ms, and CL code which has a 767,250 chip sequency repeating every 1.5 seconds. Thus, the new civil signal have much improved cross correlation properties so that the position fixing can be possible even with very weak signals. However, it requires very long acquisition time because of its long code length. This paper presents an efficient signal acquisition method for L2C AGPS receiver. Snapshot mode and coarse time assistance are assumed and total integration time is given by 1.5 sec. By SNR worksheet and computer simulation, it is proven that L2C signal can be acquired with very weak power less than -150dBm. Considering the acquisition time and the sensitivity, it is recommended that the highest power signal is acquired with CM code first to reduce TTFF. By the timing synchronization, at this time, search space of the code phase for other signals can be greatly reduced so that CL code can be used in signal acquisition to maximize sensitivity with small computation.