• Title/Summary/Keyword: evaluate index

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A Study on Verification of Equivalence and Effectiveness of Non-Pharmacologic Dementia Prevention and Early Detection Contents : Non-Randomly Equivalent Design

  • Jeong, Hyun-Seok;Kim, Oh-Lyong;Koo, Bon-Hoon;Kim, Ki-Hyun;Kim, Gi-Hwan;Bai, Dai-Seg;Kim, Ji-Yean;Chang, Mun-Seon;Kim, Hye-Geum
    • Journal of Korean Neurosurgical Society
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    • v.65 no.2
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    • pp.315-324
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    • 2022
  • Objective : The aim of this study was to verify the equivalence and effectiveness of the tablet-administered Korean Repeatable Battery for the Assessment of Neuropsychological Status (K-RBANS) for the prevention and early detection of dementia. Methods : Data from 88 psychiatry and neurology patient samples were examined to evaluate the equivalence between tablet and paper administrations of the K-RBANS using a non-randomly equivalent group design. We calculated the prediction scores of the tablet-administered K-RBANS based on demographics and covariate-test scores for focal tests using norm samples and tested format effects. In addition, we compared the receiver operating characteristic curves to confirm the effectiveness of the K-RBANS for preventing and detecting dementia. Results : In the analysis of raw scores, line orientation showed a significant difference (t=-2.94, p<0.001), and subtests showed small to large effect sizes (0.04-0.86) between paper- and tablet-administered K-RBANS. To investigate the format effect, we compared the predicted scaled scores of the tablet sample to the scaled scores of the norm sample. Consequently, a small effect size (d≤0.20) was observed in most of the subtests, except word list and story recall, which showed a medium effect size (d=0.21), while picture naming and subtests of delayed memory showed significant differences in the one-sample t-test. In addition, the area under the curve of the total scale index (TSI) (0.827; 95% confidence interval, 0.738-0.916) was higher than that of the five indices, ranging from 0.688 to 0.820. The sensitivity and specificity of TSI were 80% and 76%, respectively. Conclusion : The overall results of this study suggest that the tablet-administered K-RBANS showed significant equivalence to the norm sample, although some subtests showed format effects, and it may be used as a valid tool for the brief screening of patients with neuropsychological disorders in Korea.

Cardiac Complications Associated with Eating Disorders in Children: A Multicenter Retrospective Study

  • Choi, So Yoon;Lee, Kyung Jae;Kim, Soon Chul;Lee, Eun Hye;Lee, Yoo Min;Kim, Yu-Bin;Yi, Dae Yong;Kim, Ju Young;Kang, Ben;Jang, Hyo-Jeong;Hong, Suk Jin;Choi, You Jin;Kim, Hyun Jin
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.25 no.5
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    • pp.432-440
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    • 2022
  • Purpose: Eating disorders often result in somatic complications, including cardiac abnormalities. Cardiac abnormalities may involve any part of the heart, including the cardiac conduction system, and can lead to sudden cardiac death. The current study aimed to evaluate the incidence of cardiac complications in pediatric patients with eating disorders and their associated factors. Methods: We retrospectively analyzed patients aged 10-18 years who were diagnosed with DSM-V (Diagnostic and Statistical Manual of Mental Disorder-V) eating disorders and underwent electrocardiography (ECG) and/or echocardiography between January 2015 and May 2020. Results: In total, 127 patients were included, of whom 113 (89.0%) were female. The median body mass index (BMI) was 15.05±3.69 kg/m2. Overall, 74 patients (58.3%) had ECG abnormalities, with sinus bradycardia being the most common abnormality (91.9%). Patients with ECG abnormalities had significantly lower BMI (14.35±2.78 kg/m2 vs. 16.06± 4.55 kg/m2, p<0.001) than patients without ECG abnormalities, as well as lower phosphorus and higher cholesterol levels. Among the 46 patients who underwent echocardiographic evaluation, 23 (50.0%) had echocardiographic abnormalities, with pericardial effusion being the most common (60.9%). The median left ventricular mass (LVM) and ejection fraction were 67.97±21.25 g and 66.91±28.76%, respectively. LVM and BMI showed a positive correlation (r=0.604, p<0.001). After weight gain, the amount of pericardial effusion was reduced in 3 patients, and 30 patients presented with normal ECG findings. Conclusion: Cardiac abnormalities are relatively frequent in patients with eating disorders. Physicians should focus on this somatic complication and careful monitoring is required.

Effectiveness of the Detection of Pulmonary Emphysema using VGGNet with Low-dose Chest Computed Tomography Images (저선량 흉부 CT를 이용한 VGGNet 폐기종 검출 유용성 평가)

  • Kim, Doo-Bin;Park, Young-Joon;Hong, Joo-Wan
    • Journal of the Korean Society of Radiology
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    • v.16 no.4
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    • pp.411-417
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    • 2022
  • This study aimed to learn and evaluate the effectiveness of VGGNet in the detection of pulmonary emphysema using low-dose chest computed tomography images. In total, 8000 images with normal findings and 3189 images showing pulmonary emphysema were used. Furthermore, 60%, 24%, and 16% of the normal and emphysema data were randomly assigned to training, validation, and test datasets, respectively, in model learning. VGG16 and VGG19 were used for learning, and the accuracy, loss, confusion matrix, precision, recall, specificity, and F1-score were evaluated. The accuracy and loss for pulmonary emphysema detection of the low-dose chest CT test dataset were 92.35% and 0.21% for VGG16 and 95.88% and 0.09% for VGG19, respectively. The precision, recall, and specificity were 91.60%, 98.36%, and 77.08% for VGG16 and 96.55%, 97.39%, and 92.72% for VGG19, respectively. The F1-scores were 94.86% and 96.97% for VGG16 and VGG19, respectively. Through the above evaluation index, VGG19 is judged to be more useful in detecting pulmonary emphysema. The findings of this study would be useful as basic data for the research on pulmonary emphysema detection models using VGGNet and artificial neural networks.

Development and Evaluation of Safe Route Service of Electric Personal Assistive Mobility Devices for the Mobility Impaired People (교통약자를 위한 전동 이동 보조기기 안전 경로 서비스의 개발과 평가)

  • Je-Seung WOO;Sun-Gi HONG;Sang-Kyoung YOO;Hoe Kyoung KIM
    • Journal of the Korean Association of Geographic Information Studies
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    • v.26 no.3
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    • pp.85-96
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    • 2023
  • This study developed and evaluated a safe route guidance service for electric personal assistive mobility device used mainly by the mobility impaired people to improve their mobility. Thirteen underlying factors affecting the mobility of electric personal assistive mobility device have been derived through a survey with the mobility impaired people and employees in related organizations in Busan Metropolitan City. After assigning safety scores to individual factors and identifying the relevant factors along routes of interest with an object detection AI model, the safe route for electric personal assistive mobility device was provided through an optimal path-finding algorithm. As a result of comparing the general route of T-map and the recommended route of this study for the identical routes, the latter had relatively fewer obstacles and the gentler slope than the former, implicating that the recommended route is safer than the general one. As future works, it is necessary to enhance the function of a route guidance service based on the real-time location of users and to conduct spot investigations to evaluate and verify its social acceptability.

EEG Feature Engineering for Machine Learning-Based CPAP Titration Optimization in Obstructive Sleep Apnea

  • Juhyeong Kang;Yeojin Kim;Jiseon Yang;Seungwon Chung;Sungeun Hwang;Uran Oh;Hyang Woon Lee
    • International journal of advanced smart convergence
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    • v.12 no.3
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    • pp.89-103
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    • 2023
  • Obstructive sleep apnea (OSA) is one of the most prevalent sleep disorders that can lead to serious consequences, including hypertension and/or cardiovascular diseases, if not treated promptly. Continuous positive airway pressure (CPAP) is widely recognized as the most effective treatment for OSA, which needs the proper titration of airway pressure to achieve the most effective treatment results. However, the process of CPAP titration can be time-consuming and cumbersome. There is a growing importance in predicting personalized CPAP pressure before CPAP treatment. The primary objective of this study was to optimize the CPAP titration process for obstructive sleep apnea patients through EEG feature engineering with machine learning techniques. We aimed to identify and utilize the most critical EEG features to forecast key OSA predictive indicators, ultimately facilitating more precise and personalized CPAP treatment strategies. Here, we analyzed 126 OSA patients' PSG datasets before and after the CPAP treatment. We extracted 29 EEG features to predict the features that have high importance on the OSA prediction index which are AHI and SpO2 by applying the Shapley Additive exPlanation (SHAP) method. Through extracted EEG features, we confirmed the six EEG features that had high importance in predicting AHI and SpO2 using XGBoost, Support Vector Machine regression, and Random Forest Regression. By utilizing the predictive capabilities of EEG-derived features for AHI and SpO2, we can better understand and evaluate the condition of patients undergoing CPAP treatment. The ability to predict these key indicators accurately provides more immediate insight into the patient's sleep quality and potential disturbances. This not only ensures the efficiency of the diagnostic process but also provides more tailored and effective treatment approach. Consequently, the integration of EEG analysis into the sleep study protocol has the potential to revolutionize sleep diagnostics, offering a time-saving, and ultimately more effective evaluation for patients with sleep-related disorders.

Geochemical Characteristics of Baengnyongdonggul Cave Water, Pyeongchang, Gangwon State (강원특별자치도 평창 백룡동굴 동굴수의 지구화학적 특성)

  • Youngyun Park;Lyoun Kim;Jonghee Lee;Mun Bok Choi
    • The Journal of Engineering Geology
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    • v.33 no.3
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    • pp.413-426
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    • 2023
  • This study presents the geochemical characteristics of cave water to evaluate its origin and flow path. From June 2022 to may 2023, river water was collected at two sites (WE1 and WE2) in the Donggang River around Baengnyongdonggul Cave, and cave water was collected at four sites (WE3 to WE6) inside Baengnyongdonggul Cave. Water samples were analyzed for major dissolved components. Both river and cave waters were classified as Ca-HCO3 type. All cave water samples were supersaturated in carbonate minerals, suggesting that carbonate minerals would precipitate within the cave. Due to differences in the source of cave water and the degree of water-rock interaction, the geochemical characteristics of water from sites where the flow of cave water is observed (WE3 and WE6) and rimstone pools (WE4 and WE5) could be clearly distinguished. The cave water at WE6 flows in from the Donggang River, then passes through WE3 and flows back out into the Donggang River. The cave water at WE4 and WE5 is supplied from precipitation, but the flow path of cave water at WE4 and WE5 is different.

Evaluation on Watershed Natural Habitat Assessment for Conservation of Brachymystax lenok tsinlingensis in Naerin Upstream (내린천 상류 유역 열목어(Brachymystax lenok tslingensis) 서식지 자연성 평가)

  • Jeong Eun Kim;Hwang Goo Lee
    • Ecology and Resilient Infrastructure
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    • v.10 no.3
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    • pp.73-84
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    • 2023
  • The objective of this study was to evaluate biodiversity and natural habitat environment of freshwater ecosystem. Our aim was therefore to produce a set of biodiversity and habitat indicators based on multi-parameters of water quality and biodiversity by analyzing the characteristics of the results by indicators. We selected four indicators a) anthropogenic disturbance, b) habitat diversity, c) biodiversity, d) ecosystem structure. The fishes cohabiting with Brachymystax lenok tsinlingensis were Rhynchocypris kumgangensis and Zacco koreanus. As a result of the anthropogenic disturbance evaluation, it was analyzed that vegetation embankment showed a more stable environment in the tributary than the main stream, and other disturbance was not confirmed As a result of the habitat diversity evaluation, it was analyzed that habitat evaluation index showed a high score of 200 more on average, showing an optimal habitat condition. As a result of the biodiversity evaluation, it was analyzed as a clean habitat condition with a high proportion of sensitive species, abundant dissolved oxygen, and little pollutants. As a results of the ecosystem structure, the ecological health condition metrics and appearance of endangered species showed large score deviation, but it was analyzed that the stream ecosystem health was generally excellent. There was a slight correlation between the habitat environment and the results of the nature habitat evaluation according to the appearance of the B. lenok tsinlingensis.

A Study on the Combustion Characteristics of the Crown of Pine Trees in the Drying Season (건조기 소나무 수관부 부위별 연소특성에 관한 연구)

  • Hyuk Kwon;Jong Ho Lee
    • Journal of the Korean Society of Safety
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    • v.38 no.4
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    • pp.39-46
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    • 2023
  • Pine trees, which account for 23% of the forested area of the Republic of Korea, are highly vulnerable to fire in comparison to broad-leaved trees due to the presence of consistent water tube sections throughout the year and resin that is composed of approximately 20% oil. In addition, the pattern of forest fires is determined by weather, topographic conditions, and fluctuation in moisture content. Therefore, when fire breaks out in pine tree forests during the dry season (January to March), it is difficult to extinguish, and it quickly spreads. In this study, the combustion characteristics of pine needles, pine cones, and pine branches in the water tube sections of living pine trees were compared and analyzed in accordance with the moisture content as per the ISO 5660-1. The monthly moisture content was analyzed from January to March, and it was found to be the lowest in March, with 53.6% for pine needles, 51.9% for pine branches, and 10.9% for pine cones. In particular, pine cones were more vulnerable to fire as compared to pine needles and pine branches because their moisture content was more than five times lower than that of pine needles and branches. The ignition time, which affects the speed of flame propagation, was the most rapid in March, and the fastest ignition time was for pine cones, at 19 seconds, followed by 34 seconds for pine needles, and 256 seconds for pine branches. The pine branches were the last to be ignited due to the effect of density, according to the thickness and specific gravity of the specimen. The peak heat release rate, which is a measurable index of fire intensity, was analyzed for pine cones and found to be 184.28 kW/m2 , while the mean effective heat of combustion was 19.79 MJ/kg, and the total heat release rate was 39.7 MJ/m2 , and these values were higher than those of pine branches and pine needles. Thus, we determined that the flame propagation speed and fire intensity according to the moisture content can be used to evaluate the risk of fire to the water tube section of pine trees. It is suggested that because of the combustion characteristics of the pine cone in March, that is when the forest is most vulnerable to fires.

Load-carrying Capacity Evaluation Method for RC Slab Bridges using the Damage Evaluation Process (손상도 평가 프로세스를 이용한 RC 슬래브 교량의 공용내하력 평가 방안)

  • Lee, Hee-Hyun;Kim, Yuhee;Jeon, Jun-Chang
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.43 no.5
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    • pp.543-553
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    • 2023
  • This study was conducted to propose a simple method to evaluate the load-carrying capacity of RC slab bridges, which have been most frequently constructed in Korea. A number of RC slab bridges have been considerably deteriorated associate with the long service year. However, since these bridges are not included in the 1st and 2nd class infrastructures due to their short span length, they have been relatively neglected compared to other bridge types in terms of safety management. In the previous theoretical study, a process (draft) was proposed for evaluating the damage of RC slab bridges using the relationship between the displacement response ratio and the stiffness reduction rate derived by the measured displacement and natural frequency. In this paper, to verify the validity of the proposed damage evaluation process (draft), the results to the actual bridges were compared with the safety grade and the Matsui's deterioration index. In addition, to enhance the practical applicability of the existing process (draft), an improved method approximately evaluating the load-carrying capacity using only the measured natural frequency was presented. If an error of 10% of the load-carrying capacity is allowed, it is judged that the proposed damage evaluation process can be appropriately used not only for evaluating the safety of RC slab bridges, but also for determining priorities for their maintenance.

Design of Small-sized Scintillation Pixel Detector with a Light Guide made of the Same Material as the Scintillation Pixel (섬광 픽셀과 동일한 물질로 광가이드를 적용한 매우 작은 섬광 픽셀 검출기 설계)

  • Seung-Jae Lee;Byungdu Jo
    • Journal of the Korean Society of Radiology
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    • v.17 no.4
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    • pp.523-529
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    • 2023
  • In order to achieve excellent spatial resolution, very small scintillation pixels are used in detectors of positron emission tomography for small animals. However, by using these very small scintillation pixels, scintillation pixels at the edge of the array may overlap in a flood image. To solve this problem, a light guide capable of changing the distribution of light was used. Depending on the material of the light guide, the light spreading tendency is different, and accordingly, the presence or absence of overlapping is different depending on the material of the light guide used. In this study, instead of the conventional glass light guide, a detector using the same material as the scintillation pixel was designed. A scintillator light guide has a higher refractive index than a glass light guide, so the light spread is different. Flood images were acquired to evaluate the degree of separation of the scintillation pixels at the edge of the detector using the two light guides. The degree of separation was evaluated by calculating the distance between the center and the spatial resolution of the image of two scintillation pixels at the edge of the obtained flood image. As a result, when the scintillator light guide was used, better spatial resolution was shown, and the distance between centers of scintillation pixels was wider. When a detector is constructed using a scintillator light guide instead of a conventional glass light guide, it is possible to use a smaller scintillation pixel, thereby securing better spatial resolution.