• Title/Summary/Keyword: cutoff value

Search Result 252, Processing Time 0.028 seconds

The Usefulness of Spot Urine Protein/Creatinine Ratio in Evaluating Proteinuria in Children and the Correlation between 24-hour Urinary Protein Amount and Spot Urine Protein/Creatinine Ratio (소아 단백뇨 검사에 있어서 단회뇨 단백/크레아티닌 비의 유용성 및 일일 요단백량과의 연관성)

  • Hong, Seon Young;Kim, Ji Young;Chung, Woo Yeong
    • Clinical and Experimental Pediatrics
    • /
    • v.46 no.2
    • /
    • pp.173-177
    • /
    • 2003
  • Purpose : Recently, different results about factors affecting accurate quantitation of 24-hr urinary protein(24UP) amount using spot urine protein/creatinine ratio(PCR) have been reported. The current study was designed to evaluate correlation between 24UP amounts and PCR in children, and the effect of 24UP amounts, age, sex, and glomerular filtration rate(GFR) on this correlation. Methods : Among 94 patients who visited the department of pediatrics in Busan Paik Hospital from March 2002 to August 2002, 68 patients whose urinary creatinine excretion was ${\geq}15mg/kg/day$ were included in this study. All the patients were divided into I, II/A, B group(I : 24UP<500 mg/day, II : $24UP{\geq}500mg/day$, A : <10 years of age, B : ${\geq}10years$ of age). Pearson correlation analysis was performed between 24UP and PCR to evaluate the relationship. We defined fractional difference between 24UP and PCR, and then performed multiple regression analysis with 24UP amount, age, GFR and fractional difference. Results : There was a strong positive linear correlation between 24UP and PCR(R=0.936, P<0.0001) in all patients, and the correlation was also good in each group. Using PCR cutoff values of 0.5, the PCR provided high sensitivity, specificity, positive and negative predictive value in predicting 24UP amount ${\geq}500mg$. The factors affecting accurate quantitation of proteinuria using spot urine PCR was age, not 24UP amount, GFR or sex. Conclusion : Spot urine PCR is a useful test but has limitations in predicting 24UP amount. Therefore, it should be used only as screening method. Age-adjusted PCR cutoff values may be necessary to predict 24UP amount in children with proteinuria.

A Study on Method for Screening of Hypercalciuria in Children (소아에서 소변 Na/K 비를 통한 칼슘 배설량 예측)

  • Ko Han Seong;Choi Jeong Hoon;Choi Byoung Min;Yoo Kee Hwan;Hong Young Sook;Lee Joo Won;Kim Soon Kyum
    • Childhood Kidney Diseases
    • /
    • v.4 no.1
    • /
    • pp.11-16
    • /
    • 2000
  • Purpose. Urinary calcium excretion using a 24-hr urine colledtion has been used for the diagnosis of hypercalciuria up to now. But It takes a lot of time and costs much. We have investigated on a more simple method for screening of hypercalciuria in children. Methods: We had retrospectively analyzed sodium, potassium, calcium and creatinine in spot urine of eighty-four patients with urinary symptoms from May 1998 to July 1998 in Korea university Guro hospital and compared the urinary Ca/Cr ratio with the Nin ratio. Using a urinary Nan ratio >2.68 as a cutoff value in predicting the occurrence of hypercalciuria, we measured its sensitivity, specificity, positive predictive value and the negative predictive value. Results: A direct relationship was found between urinary Na/K and Ca/Cr ratio (r=0.496, P<0.001, Ca/Cr : Na/K x 0.0167+0.061). Using a urinary Na/K ratio >2.68 as a cutoff value in predicting the occurrence of hypercalciuria, its sensitivity was found to be $100\%$ and its specificity $54.5\%$. The positive predictive value was $37.5\%$ and the negative predictive value $100\%$. Conclusions : Spot urine Na/K ratio is a valuable test for the screening of hypercalciuria in children.

  • PDF

An Economic Design of Rectifying Inspection Plans Based on a Correlated Variable (대용품질특성치를 이용한 계수선별형 샘플링 검사방식의 경제적 설계)

  • Bai, D.S.;Lee, K.T.;Choi, I.S.
    • Journal of Korean Institute of Industrial Engineers
    • /
    • v.23 no.4
    • /
    • pp.793-802
    • /
    • 1997
  • A sampling plan is presented for situations where sampling inspection is based on the quality characteristic of interest and items in rejected lots are screened based on a correlated variable. A cost model is constructed which involves the costs of misclassification errors, sampling and screening inspections. A method of finding optimal values of sample size, acceptance number and cutoff value on the correlated variable is presented, and numerical studies are given.

  • PDF

THE EVOLUTION OF LYMAN$\alpha$ FOREST CLOUDS AT z > 2

  • KIM T.-S.;Hu E. M.;COWIE L. L.;SONGAILA A.
    • Journal of The Korean Astronomical Society
    • /
    • v.29 no.spc1
    • /
    • pp.39-40
    • /
    • 1996
  • Using the Keck 10 m telescope data with the HIRES spectrograph, we analyzed the evolution of Lyman$\alpha$ forest clouds at z > 2 down to the HI column density $10^{12.8}cm^{-2}$. The number density per unit column density does not change with redshifts at lower HI cloumn density ($N_{HI} < 10^{14}cm^{-2}$), while the forest clouds at higher column density disappear rapidly. The cutoff b value, the thermal temperature indicator, increases as redshift decreases. The correlation strength seems to be stronger as redshift decreases.

  • PDF

A Study on Improved SPICE MOSFET RF Model Considering Wide Width Effect (Wide Width Effect를 고려하여 개선된 SPICE MOSFET RF Model 연구)

  • Cha, Ji-Yong;Cha, Jun-Young;Lee, Seong-Hearn
    • Journal of the Institute of Electronics Engineers of Korea SD
    • /
    • v.45 no.2
    • /
    • pp.7-12
    • /
    • 2008
  • In this study, the wide width effect that the increasing rate of drain current and the value of cutoff frequency decrease with larger finger number is observed. For modeling this effect, an improved SPICE MOSFET RF model that finger number-independent external source resistance is connected to a conventional BSIM3v3 RF model is developed. Better agreement between simulated and measured drain current and cutoff frequency at different finger number is obtained for the improved model than the conventional one, verifying the accuracy of the improved model for $0.13{\mu}m$ multi-finger MOSFET.

An Enhancement of Medical Image Using Optimized High-Frequency Emphasis Filter (최적화된 고주파 강조 필터를 이용한 의료영상의 개선)

  • Shin, Choong-Ho;Jung, Chai-Yeoung
    • Journal of the Korea Institute of Information and Communication Engineering
    • /
    • v.17 no.3
    • /
    • pp.698-704
    • /
    • 2013
  • The image process for image enhancement applies differently the same algorithm for each application. So, the optimized value for each application is required. In this paper, the X-ray medical image using a high-pass filter was improved edges. The result image was improved edge and the contrast of flat area using a constant multiplier and offset. Therefore, the high-frequency emphasis filter optimized for medical image is required. These optimized values are the gaussian high-pass filter, the distance of cutoff frequency=0.05 and offset=0.5. From the result of optimaized simulation, The proposed method has enhanced contrast and edge of the image in the contrast of existing mothods.

Theoretical Analysis of a $1.48{\mu}m$ Diode Laser Pumped $Er^{3+}$ Doped Fiber Amplifier ($1.48{\mu}m$ 레이저 다이오드로 여기된 $Er^{3+}$ 첨가 광섬유 광증폭기에 대한 이론적 분석)

  • 김회종
    • Korean Journal of Optics and Photonics
    • /
    • v.4 no.1
    • /
    • pp.101-107
    • /
    • 1993
  • We carried out the useful theoretical calculation for the optimum design of a 1.48 ${\mu}m$ diode laser pumped E$r^{3+}$ doped fiber amplifier. The model we established is based on the rate equations of three level laser system and the overlap integral between fundamental mode L$P_{01}$ and E$r^{3+}$ doped area. We determined several fiber parameters (N.A., V value, fiber length, E$r^{3+}$ concentration, cutoff wavelength etc.) for the optimum design of a high optical gain. We found that our theoretical results are very useful to the design of E$r^{3+}$ doped fiber used in EDFA.

  • PDF

Can Observational Gait Assessment Tools be used to Assess Independent Walking in Stroke Patients?

  • Ju, Sung-Kwang
    • Journal of the Korean Society of Physical Medicine
    • /
    • v.17 no.1
    • /
    • pp.11-20
    • /
    • 2022
  • PURPOSE: A gait assessment is an important component of the rehabilitation process, and observational gait assessment (OGA) is used routinely in clinical settings. This study examined the association of OGA tools with the independent walking ability in stroke patients to determine a cutoff value of the OGA tool according to independence levels of stroke patient gait. METHODS: Two hundred ten hemiparetic stroke patients participated in the study. The independence of gait was identified using the Functional Ambulation Category (FAC) classifications. The walking ability was assessed using OGA tools (Rivermead Visual Gait Assessment [RVGA], Wisconsin Gait Scale [WGS], Tinetti Gait Scale [TGS], and Functional Gait Analysis [FGA]). RESULTS: Stepwise multiple regression analysis showed that among the OGA tools, the FGA correlated with the FAC. The FGA explained approximately 77% of the variance in FAC. In distinguishing the independence levels, the cutoff values were as follows: between FAC 1 and FAC 0 was .5 points; between FAC 2 and lower levels, 5.5; between FAC 3 and lower levels, 11.5; between FAC 4 and lower levels, 14.5; and between FAC 5 and lower levels, 18.5. Items 1, 2, 3, and 10 were identified as explaining most of the variance in the FGA in the stepwise multiple regression. CONCLUSION: The present study found that the FGA is an assessment tool related to the level of gait independence after stroke. Furthermore, the FGA total score can serve as an index of the increase in independence level after stroke.

Added Value of Contrast Leakage Information over the CBV Value of DSC Perfusion MRI to Differentiate between Pseudoprogression and True Progression after Concurrent Chemoradiotherapy in Glioblastoma Patients

  • Pak, Elena;Choi, Seung Hong;Park, Chul-Kee;Kim, Tae Min;Park, Sung-Hye;Won, Jae-Kyung;Lee, Joo Ho;Lee, Soon-Tae;Hwang, Inpyeong;Yoo, Roh-Eul;Kang, Koung Mi;Yun, Tae Jin
    • Investigative Magnetic Resonance Imaging
    • /
    • v.26 no.1
    • /
    • pp.10-19
    • /
    • 2022
  • Purpose: To evaluate whether the added value of contrast leakage information from dynamic susceptibility contrast magnetic resonance imaging (DSC MRI) is a better prognostic imaging biomarker than the cerebral blood volume (CBV) value in distinguishing true progression from pseudoprogression in glioblastoma patients. Materials and Methods: Forty-nine glioblastoma patients who had undergone MRI after concurrent chemoradiotherapy with temozolomide were enrolled in this retrospective study. Twenty features were extracted from the normalized relative CBV (nCBV) and extraction fraction (EF) map of the contrast-enhancing region in each patient. After univariable analysis, we used multivariable stepwise logistic regression analysis to identify significant predictors for differentiating between pseudoprogression and true progression. Receiver operating characteristic (ROC) analysis was employed to determine the best cutoff values for the nCBV and EF features. Finally, leave-one-out cross-validation was used to validate the best predictor in differentiating between true progression and pseudoprogression. Results: Multivariable stepwise logistic regression analysis showed that MGMT (O6-methylguanine-DNA methyltransferase) and EF max were independent differentiating variables (P = 0.004 and P = 0.02, respectively). ROC analysis yielded the best cutoff value of 95.75 for the EF max value for differentiating the two groups (sensitivity, 61%; specificity, 84.6%; AUC, 0.681 ± 0.08; 95% CI, 0.524-0.837; P = 0.03). In the leave-one-out cross-validation of the EF max value, the cross-validated values for predicting true progression and pseudoprogression accuracies were 69.4% and 71.4%, respectively. Conclusion: We demonstrated that contrast leakage information parameter from DSC MRI showed significance in differentiating true progression from pseudoprogression in glioblastoma patients.

Prediction Model for the Risk of Scapular Winging in Young Women Based on the Decision Tree

  • Gwak, Gyeong-tae;Ahn, Sun-hee;Kim, Jun-hee;Weon, Young-soo;Kwon, Oh-yun
    • Physical Therapy Korea
    • /
    • v.27 no.2
    • /
    • pp.140-148
    • /
    • 2020
  • Background: Scapular winging (SW) could be caused by tightness or weakness of the periscapular muscles. Although data mining techniques are useful in classifying or predicting risk of musculoskeletal disorder, predictive models for risk of musculoskeletal disorder using the results of clinical test or quantitative data are scarce. Objects: This study aimed to (1) investigate the difference between young women with and without SW, (2) establish a predictive model for presence of SW, and (3) determine the cutoff value of each variable for predicting the risk of SW using the decision tree method. Methods: Fifty young female subjects participated in this study. To classify the presence of SW as the outcome variable, scapular protractor strength, elbow flexor strength, shoulder internal rotation, and whether the scapula is in the dominant or nondominant side were determined. Results: The classification tree selected scapular protractor strength, shoulder internal rotation range of motion, and whether the scapula is in the dominant or nondominant side as predictor variables. The classification tree model correctly classified 78.79% (p = 0.02) of the training data set. The accuracy obtained by the classification tree on the test data set was 82.35% (p = 0.04). Conclusion: The classification tree showed acceptable accuracy (82.35%) and high specificity (95.65%) but low sensitivity (54.55%). Based on the predictive model in this study, we suggested that 20% of body weight in scapular protractor strength is a meaningful cutoff value for presence of SW.