• Title/Summary/Keyword: intra class correlation

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Validity of palatal superimposition of 3-dimensional digital models in cases treated with rapid maxillary expansion and maxillary protraction headgear

  • Choi, Jin-Il;Cha, Bong-Kuen;Jost-Brinkmann, Paul-Georg;Choi, Dong-Soon;Jang, In-San
    • The korean journal of orthodontics
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    • v.42 no.5
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    • pp.235-241
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    • 2012
  • Objective: The purpose of this study was to evaluate the validity of the 3-dimensional (3D) superimposition method of digital models in patients who received treatment with rapid maxillary expansion (RME) and maxillary protraction headgear. Methods: The material consisted of pre- and post-treatment maxillary dental casts and lateral cephalograms of 30 patients, who underwent RME and maxillary protraction headgear treatment. Digital models were superimposed using the palate as a reference area. The movement of the maxillary central incisor and the first molar was measured on superimposed cephalograms and 3D digital models. To determine whether any difference existed between the 2 measuring techniques, intra-class correlation (ICC) and Bland-Altman plots were analyzed. Results: The measurements on the 3D digital models and cephalograms showed a very high correlation in the antero-posterior direction (ICC, 0.956 for central incisor and 0.941 for first molar) and a moderate correlation in the vertical direction (ICC, 0.748 for central incisor and 0.717 for first molar). Conclusions: The 3D model superimposition method using the palate as a reference area is as clinically reliable for assessing antero-posterior tooth movement as cephalometric superimposition, even in cases treated with orthopedic appliances, such as RME and maxillary protraction headgear.

Adaptive Cross-Device Gait Recognition Using a Mobile Accelerometer

  • Hoang, Thang;Nguyen, Thuc;Luong, Chuyen;Do, Son;Choi, Deokjai
    • Journal of Information Processing Systems
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    • v.9 no.2
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    • pp.333-348
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    • 2013
  • Mobile authentication/identification has grown into a priority issue nowadays because of its existing outdated mechanisms, such as PINs or passwords. In this paper, we introduce gait recognition by using a mobile accelerometer as not only effective but also as an implicit identification model. Unlike previous works, the gait recognition only performs well with a particular mobile specification (e.g., a fixed sampling rate). Our work focuses on constructing a unique adaptive mechanism that could be independently deployed with the specification of mobile devices. To do this, the impact of the sampling rate on the preprocessing steps, such as noise elimination, data segmentation, and feature extraction, is examined in depth. Moreover, the degrees of agreement between the gait features that were extracted from two different mobiles, including both the Average Error Rate (AER) and Intra-class Correlation Coefficients (ICC), are assessed to evaluate the possibility of constructing a device-independent mechanism. We achieved the classification accuracy approximately $91.33{\pm}0.67%$ for both devices, which showed that it is feasible and reliable to construct adaptive cross-device gait recognition on a mobile phone.

Reproducibility of the Isokinetic Joint Torque as a Rotator Cuff Weakness Test Protocol in Patients With Rotator Cuff Tendinitis

  • Kim, Soo-yong;Oh, Jae-seop
    • Physical Therapy Korea
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    • v.24 no.3
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    • pp.21-29
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    • 2017
  • Background: The measurement of the strength of the shoulder muscles is an important element of the overall assessment of patients with various shoulder disorders. However, the clinical utilization of this measurement is dependent on its reproducibility. Objects: To explore the reproducibility of the measurements derived from testing of the isokinetic strength of shoulder muscles in patients with tendinitis of the rotator cuff. Methods: A total of 20 patients with tendinitis of the rotator cuff participated in this study and were assessed twice in 1 week. Isokinetic testing was performed concentrically for shoulder flexors, abductors, and external rotators and eccentrically for the shoulder extensors, adductors, and internal rotators. The relative and absolute reproducibility of the peak torque (PT) and ratios were assessed using intra-class correlation coefficients (ICC), standard error of measurement (SEM), and minimal clinically important difference (MCID), respectively. Results: Overall, high to excellent ICC, clinically acceptable SEM and MCID values were obtained for the PT (ICC: .83-.95, SEM: 1.2%-9%, MCID: 3.4%-25%) and ratios (ICC: .85-.93, SEM: 5.1%-10%, MCID: 14.2%-27.6%). Conclusion: These findings suggest that isokinetic tests may be effectively utilized for the determination of shoulder strength profiles and appropriate position are recommended to perform test without pain in patients with tendinitis of the rotator cuff.

Factors Affecting the Outcome Indicators in Patients with Stroke (뇌졸중 환자의 결과지표에 영향을 주는 요인: 다변량 회귀분석과 다수준분석 비교)

  • Kim, Sun Hee;Lee, Hae Jong
    • Health Policy and Management
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    • v.25 no.1
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    • pp.31-39
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    • 2015
  • Background: The purpose of this study is comparison of the results between regression and multi-level analysis to find out factors influencing outcome indicators (in-hospital death, length of stay, and medical charges) of stroke patients. Methods: By using patient sample data of Health Insurance Review & Assessment Service, patients admitted with stroke were selected as survey target and 15,864 patients and 762 hospitals were surveyed. Results: For the results of existing regression analysis and multi-level analysis, models were assessed through model suitability index value and as a result, the value of results of multi-level analysis decreased compared to the results of regression, showing it is a better model. Conclusion: Factors influencing in-hospital death of stroke patients were analyzed and as a result, intra-class correlation (ICC) was 13.6%. In factors influencing length of stay, ICC was 11.4%, and medical charges, ICC was 17.7%. It was found that factors influencing the outcome indicators of stroke patients may vary in every hospital. This study could carry out more accurate analysis than existing research findings through analysis of reflecting structure at patient level and hospital level factors and analysis on random effect.

Factors Affecting Patient Moving for Medical Service Using Multi-level Analysis (환자이동에 영향을 미치는 개인 및 병원요인 분석)

  • Kim, Sun Hee;Lee, Hae Jong;Lee, Kwang Soo;Shin, Hyun Woung
    • Korea Journal of Hospital Management
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    • v.19 no.4
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    • pp.9-20
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    • 2014
  • The purpose of this study is to find out factors affecting patient moving to receive medical service. This study is analyzed by multi-level model with patient and hospital level by using SAS 9.3. Total number of patients is 600,000 persons for inpatients and 550,000 patients for outpatients. The degree of the factors, which is combined with personnel factor and hospital factor, can be analyzed by Intra-Class Correlation (ICC). The percentage of group(hospital) level variance of the total variance for out-bound moving case are 30.6% at inpatients, and 28.3% at outpatients. And the percentage of hospital level variance of the total variance for moving distance, are 26.7%, 32,5% respectively. Conclusionally, although the main factor of moving is patient level, hospital is also very important factor to make decision to go out-bound. It contributed to about 1/3 for hospital choice. And, when the one make decision, he will consider the hospital type, number of bed, and training institute in hospital level. Through this study to find out hospital factors affecting patient moving for medical service, it must be continued to find out which factors have more influence to choice the hospital among disease type after this.

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Comparing Risk-adjusted In-hospital Mortality for Craniotomies : Logistic Regression versus Multilevel Analysis (로지스틱 회귀분석과 다수준 분석을 이용한 Craniotomy 환자의 사망률 평가결과의 일치도 분석)

  • Kim, Sun-Hee;Lee, Kwang-Soo
    • The Korean Journal of Health Service Management
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    • v.9 no.2
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    • pp.81-88
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    • 2015
  • The purpose of this study was to compare the risk-adjusted in-hospital mortality for craniotomies between logistic regression and multilevel analysis. By using patient sample data from the Health Insurance Review & Assessment Service, in-patients with a craniotomy were selected as the survey target. The sample data were collected from a total number of 2,335 patients from 90 hospitals. The sample data were analyzed with SAS 9.3. From the results of the existing logistic regression analysis and multilevel analysis, the values from the multilevel analysis represented a better model than that of logistic regression. The intra-class correlation (ICC) was 18.0%. It was found that risk-adjusted in-hospital mortality for craniotomies may vary in every hospital. The agreement by kappa coefficient between the two methods was good for the risk-adjusted in-hospital mortality for craniotomies, but the factors influencing the outcome for that were different.

Development of the Meaning in Life Scale for Older Adults (노인의 삶의 의미 측정 도구 개발)

  • Lee, Si Eun;Hong, Gwi-Ryung Son
    • Journal of Korean Academy of Nursing
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    • v.47 no.1
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    • pp.86-97
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    • 2017
  • Purpose: The purpose of this study was to develop and test the psychometric properties of the newly developed instrument, Meaning in Life, for elderly Korean people. Methods: Ten older adults participated in the qualitative research used to develop the initial items. Participants for the psychometric testing were 371 community-dwelling older adults. Validity and reliability analyses included content, construct, and criterion-related validities, internal consistency, and test-retest reliability. Results: The Meaning in Life Scale consisted of 12 items with three distinct factors; value of life, source of life, and will to live, which explained 86.7% of the total variance. A three-factor structure was validated by confirmatory factor analysis. Criterion-related validity was supported by comparison with the Purpose in Life Test (r=.74). Reliabilities were secured with test-retest reliability of Intra-class Correlation Coefficient (ICC) .85 and the Cronbach's alpha coefficient .90. Conclusion: The results of this study indicate that this instrument is useful to measure meaning in life in Korean elders.

Development of a Passive Sampler using a Fluorescence Material for the Ambient Ozone (형광물질을 이용한 대기 중 오존 Passive Sampler의 개발)

  • 임봉빈;정의석;김선태
    • Journal of Korean Society for Atmospheric Environment
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    • v.20 no.4
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    • pp.483-491
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    • 2004
  • The purpose of this study is to develop an ozone passive sampler and to evaluate its performance p-Acetamidophenol using as the reagent for ozone reacts specifically with the ambient ozone to produce a fluorescence material (p-acetamidopheonl dimer). The volume of absorbent solution and the extraction time determined at suitable conditions for measuring ozone were 100$\mu$L and 60 min, respectively. The changes of fluorescence were observed with incresing the storage period of passive samplers in ambient air. but the cool storage in a refrigerator did not remarkably influence the increase of fluorescence. The measurement for the precision oi the passive sampling was carried out with duplicate measurement of passive samplers. The intra-class correlation coefficients of passive samplers using dry and wet filters were 0.992 and 0.962, respectively The results from field validation tests indicated practical agreement (dry filter: r=0.963, wet filter: r=0.995) between the passive sampler and an UV photometric $O_3$ analyzer. The limit of quantification of ozone passive samplers with sampling time of 8 hr (wet filter) and 24 hr (dry filter) were 8.0 ppb and 2.7 ppb, respectively.

Validation of the Korean Version of the End-Stage Renal Disease Adherence Questionnaire (한국어판 말기신부전 환자의 치료순응도 측정 도구의 타당도와 신뢰도 검증)

  • Kim, Youngmee;Park, Young Mi
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.2
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    • pp.307-316
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    • 2012
  • Purpose: The purpose of this study was to develop and test psychometric properties the Korean version of the End-Stage Renal Disease Adherence Questionnaire (KESRD-AQ). The ESRD-AQ, a 46-item, multidimensional, self-administrated questionnaire which was developed to assess treatment adherence to hemodialysis (HD) attendance, medications, fluid restrictions, and diet prescription among patients on maintenance hemodialysis, has been validated. Methods: The KESRD-AQ was developed by performing both translation and backtranslation. The content validity and test- retest reliability of the KESRD-AQ were evaluated by establishing item-level content validity index (I-CVI) and intra-class correlation coefficients (ICC), respectively. Construct validity was assessed by adopting a known-group analysis comparing adheres and non-adherers using Mann-Whitney U Test. Results: 41 Korean-American patients with ESRD on HD from 3 outpatient dialysis centers in California participated in the study. The KESRD-AQ showed excellent content validity (average I-CVI=.96) and test-retest reliability (ICC=.917, p=.004). The construct validity indicated that the KESRD-AQ distinguished adheres and non-adheres (p=.02~.047). Conclusion: The KESRD-AQ is a valid and reliable instrument to measure treatment adherence.

Reliability and Validity of the Neck Disability Index in Neck Pain Patients (경통 환자 평가를 위한 Neck Disability Index의 신뢰도와 타당도)

  • Lee, Eun-Woo;Shin, Won-Seob;Jung, Kyoung-Sim;Chung, Yi-Jung
    • Physical Therapy Korea
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    • v.14 no.3
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    • pp.97-106
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    • 2007
  • The purpose of this study was to determine reliability and validity of the Neck Disability Index (NDI) now in use for the first time in neck pain patients of Korea. Fifty subjects (26 males and24 female) with neck pain enrolled in the study. They completed a standardized self-administered questionnaire that include pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation. Reliability was determined by intra-class correlation coefficient (ICC) and Cronbach's alpha by internal consistency. Validity was examined by correlating the NDI scores to the Visual Analog Scale (VAS) score. The Test-retest reliability of the translated versions of the NDI was good ICC (2,1) = .90 (95%CI .85 .95). Cronbach's alpha value for NDI was found to be .95 and this was statistically significant (p<.05). The criterion-related validity coefficients was .72 (p<.01). We conclude that the Korean version of NDI has shown to be a reliable and valid instrument for the assessment of neck pain.

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