• 제목/요약/키워드: Utility Dependence

검색결과 17건 처리시간 0.019초

만성 뇌졸중 환자들의 체간 조절 평가의 재현성과 Barthel Index구분을 위한 임상 유용성 (Reproducibility of Trunk Control Assessment and the Clinical Utility of the Distinguishing Barthel Index in Chronic Stroke Patients)

  • 안승헌;박대성
    • 대한물리의학회지
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    • 제19권3호
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    • pp.55-63
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    • 2024
  • PURPOSE: This study examined the test-retest reliability and clinical utility of the Modified Trunk Impairment Scale (mTIS), Trunk Control Test (TCT), and Postural Assessment Scale for Stroke - Trunk Control (PASS-TC) in patients with chronic stroke. METHODS: Thirty-eight stroke patients were reassessed using the mTIS, TCT, and PASS-TC with a seven-day interval between assessments. The test-retest reliability was evaluated using the intraclass correlation coefficient (ICC2,1), the standard error of measurement (SEM), the minimal detectable change (MDC), and MDC%, as well as Bland-Altman analysis. The relationship between the mTIS, TCT, PASS-TC scores, and the Barthel Index (BI) was also investigated. RESULTS: The test-retest reliability for the mTIS, TCT, and PASS-TC was high, with ICC values ranging from .91 to .94 (95% confidence interval: .83-.97). The MDCs for the mTIS and TCT were 2.35 and 13.9, respectively, while the MDC for the P ASS-TC was 2.54, all below 20% of the maximum possible score, indicating reliable measurement. The optimal mTIS cut-off score for distinguishing between mild (75-95 points) and severe (50-74 points) dependence on the BI was ≥ 9.5, with an accuracy of 79%. Patients with an mTIS score ≥ 9.5 (out of 15) showed an 18-fold higher likelihood of achieving a mild level of functional independence than those with a score < 9.5. CONCLUSION: The mTIS, TCT, and PASS-TC showed high test-retest reliability and no systematic errors in chronic stroke patients. The MDC values were reliable, indicating meaningful change. Among these, the mTIS is a sensitive and a useful tool for predicting functional independence in clinical practice and is straightforward to apply.

한국형 환자분류체계의 단축형 개발과 간호요구 유형 분류 (Shortening of Korean Patient Classification System-1 and Classification of Nursing Care Needs)

  • 이지윤;조성현;홍경진;윤효정;심원희;김문숙;김영주
    • 임상간호연구
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    • 제28권2호
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    • pp.198-209
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    • 2022
  • Purpose: The purpose of the study was to shorten the KPCS-1 (Korean Patient Classification System-1) for predicting nursing care need level and to explore whether the patients can be clustered by their acuity and dependency. Methods: The participants were inpatients in two surgical wards and two internal medicine wards at a teritory hospital during 14 days investigations. The KPCS-1 was evaluated once a day for all inpatients and 2,082 cases of data from a total of 411 patients were analyzed. Results: The items were reducted from 50 items to 26 items by partial least squares analysis and expert review. Through factor analysis, it was confirmed that hygiene, diet, elimination, and exercise were categorized as dependence factors. Patients were clustered with low acuity/low dependency (average score: 7.68±2.81/1.05±1.33), high acuity/low dependency (average score: 17.20±4.15/1.94±2.40), medium acuity/high dependency (average score: 13.56±5.30/9.66±2.64) through cluster analysis. The total score of the three groups for their nursing care needs was 8.73±3.36, 19.14±5.74, and 23.24±6.31 in order, and the results showed a statistically significant difference (F=1712.12, p<.001). Conclusion: The shortening of the KPCS-1 and the new criteria for categorizing patients according to acuity and dependence will increase clinical utility and be useful for manpower assignment criteria in detail.

LAMBDA 기법을 활용한 L1 반송파의 GPS 기선해석 프로그램 개발 (Development of a GPS Baseline Analysis Software for L1 Carrier Phase Using LAMBDA Method)

  • 박정현;이용욱;권재현;강준묵
    • 한국측량학회지
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    • 제21권2호
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    • pp.173-180
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    • 2003
  • 세계측지계로의 전환으로 GPS는 측량분야에서 그 효용성이 크게 증가되고있는 현 시점에서, 기준점을 기준으로 이동점에 대한 상대적인 기선벡터를 구하는 기선해석프로그램은 대부분 외국 소프트웨어에 의존하고 있어 보다 폭넓은 활용에 걸림돌이 되고 있다. 본 논문에서는 LAMBDA 기법으로 미지정수를 해결하는 알고리즘을 정립하고, 객체지향언어인 Visual C++ 6.0을 이용하여 Ll 반송파에 대한 기선해석 프로그램을 개발하였으며, 15km이하의 단기선에서 상용프로그램과 비교하여 4.9센티미터 이하의 차이를 확인하였다.

냉동 고등어(Scomber japonicus)의 유통 온도 관리를 위한 Time-temperature Indicator 개발 (Development of a Time-temperature Indicator for Managing the Distribution Temperature of Frozen Mackerel Scomber japonicus)

  • 최정욱;이민경;최재혁;장명기;안동현;남택정
    • 한국수산과학회지
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    • 제51권5호
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    • pp.590-594
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    • 2018
  • We developed a time-temperature indicator (TTI) that rapidly determines whether frozen mackerel Scomber japonicus has thawed during its distribution. Our TTI was made from filter paper capable of absorbing mackerel exudate that was soaked in a 20% citric acid solution at pH 4.0 and then dried. The dried absorbent paper was cut and attached to blue litmus paper with a 2 mm overhang. The fixed litmus paper was covered with a polypropylene film and sealed. The indicator was placed inside a polyvinyl vacuum package containing the mackerel sample. The vacuum-sealed packaged was frozen at $-20^{\circ}C$ for 24 h. After freezing, the color change and time dependence of the indicator were observed at room temperature ($25^{\circ}C$) and demonstrated the utility of this TTI for rapidly determining whether frozen mackerel underwent thawing during distribution.

A TWO-DIMENSIONAL FINITE VOLUME METHOD FOR TRANSIENT SIMULATION OF TIME- AND SCALE-DEPENDENT TRANSPORT IN HETEROGENEOUS AQUIFER SYSTEMS

  • Liu, F.;Turner, I.;Ahn, V.;Su, N.
    • Journal of applied mathematics & informatics
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    • 제11권1_2호
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    • pp.215-241
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    • 2003
  • In this paper, solute transport in heterogeneous aquifers using a modified Fokker-Planck equation (MFPE) is investigated. This newly developed mathematical model is characterised with a time-, scale-dependent dispersivity. A two-dimensional finite volume quadrilateral mesh method (FVQMM) based on a quadrilateral background interpolation mesh is developed for analysing the model. The FVQMM transforms the coupled non-linear partial differential equations into a system of differential equations, which is solved using backward differentiation formulae of order one through five in order to advance the solution in time. Three examples are presented to demonstrate the model verification and utility. Henry's classic benchmark problem is used to show that the MFPE captures significant features of transport phenomena in heterogeneous porous media including enhanced transport of salt in the upper layer due to its parameters that represent the dependence of transport processes on scale and time. The time and scale effects are investigated. Numerical results are compared with published results on the some problems.

연속신념시스템의 확장모형을 이용한 주식시장의 군집행동 분석 (The extension of a continuous beliefs system and analyzing herd behavior in stock markets)

  • 박범조
    • 경제분석
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    • 제17권2호
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    • pp.27-55
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    • 2011
  • 최근 금융시장의 변동성이 현저하게 증폭되면서 이에 대한 원인으로 금융시장의 군집 행동에 대한 이론적 연구가 활발하게 진행되고 있지만 군집행동의 시계열적 특성을 파악할 수 있는 실증적 연구는 거의 없었다. 따라서 본 연구는 연속신념시스템(continuous beliefs system)의 이론적 확장을 통해 군집행동을 시계열적으로 측정할 수 있는 군집행동 파라미터를 도출하였으며 이를 추정하기 위한 계량모형을 제안하였다. 또한 이 모형의 효율적 추정을 위해 MCMC 추정법을 적용하였다. KOSPI와 DOW 지수월별자료를 이용한 실증분석 결과에 의하면 미국보다 우리나라 주식시장의 군집행동이, 그리고 글로벌 금융위기 전보다 글로벌 금융위기 이후에 군집행동이 강하게 나타났다. 또한 글로벌 금융위기로 인해 군집행동의 변동성(표준편차)이 증가하였으며 군집행동은 수익률 변동성과는 달리 지속적인 자기상관을 유지하지 않았다. 이런 결과는 군집행동이 금융시장을 불안하게 만드는 한 원인이 될 수 있음을 나타낸다.

제초제의 활성 성분에 대한 물리-화학 파라미터의 범위 (Range of physicochemical parameters for active ingredients of herbicides)

  • 성낙도;송선섭
    • 농약과학회지
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    • 제7권1호
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    • pp.58-65
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    • 2003
  • 농업용 약물로서의 활용성 진단과 예측을 위한 기초 자료로서 상용화 된 제초제와 같은 분자량을 가지는 의약 각 245 종에 대한 10 가지의 물리 -화학 파라미터들을 계산하고 제초제와 광합성 (PS-II) 저해제 및 acetolactase synthase (ALS) 저해제들의 특정한 물리-화학 파라미터들에 대한 수치 범위를 비교 검토하였다. 제초제들의 특정 물리-화학 파라미터에 대한 85% 의존적 수치 범위는 소수성 상수 (Obs. logP): $-0.90\sim4.50$, 쌍극자 능율 (DM): $1.80\sim12.22$ Debye, van der Waals 분자부피 (Vol.); $558\sim995Cm^3$ 및 표면적 (S.Area): $194\sim356\;{\AA}^2$, molar refractivity (MR): $53\sim104Cm^3/mol$., 분극율 (Pol): $19\sim37\;{\AA}^3$, 분자량 : $202\sim430(amu)$, 및 수화 에너지 (Hy.E): $-10.16\sim114.7$ Kcal/mol 등 이었다. 그리고 작용 기작에 따라 물리-화학파라미터의 범위값을 특징적으로 나타내고 있음을 알았으며 MR 상수와 분극율은 의약과 제초제 (ALS 저해제)를 구분하는 판별 가능한 요소가 될 것으로 예상되었다.