• Title/Summary/Keyword: kappa coefficient

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Panoramic radiography can be an effective diagnostic tool adjunctive to oral examinations in the national health checkup program

  • Kweon, Helen Hye-In;Lee, Jae-Hong;Youk, Tae-mi;Lee, Bo-Ah;Kim, Young-Taek
    • Journal of Periodontal and Implant Science
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    • v.48 no.5
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    • pp.317-325
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    • 2018
  • Purpose: We investigated correlations between the findings of oral examinations and panoramic radiography in order to determine the efficacy of using panoramic radiographs in screening examinations. Methods: This study included patients who visited dental clinics at National Health Insurance Service (NHIS) Ilsan Hospital for checkups during 2009-2015 and underwent panoramic radiographic examinations within 1 year prior to the oral examinations. Among the 48,006 patients who received checkups, 1,091 were included in this study. The data were evaluated using the Cohen kappa and interrater agreement coefficients. Accuracy, sensitivity, and specificity were calculated using data from the panoramic radiographs as true positive diagnoses. Results: The interrater agreement coefficient for occlusal caries was 28.8%, and the Cohen kappa coefficient was 0.043 between the oral and panoramic radiographic examinations. Root caries and subgingival calculus were only found on the radiographs, while gingival inflammation was found only by the oral examinations. The oral examinations had a specificity for detecting occlusal dental caries of 100%, while their sensitivity for proximal dental caries and supragingival calculus was extremely low (14.0% and 18.3%, respectively) compared to the panoramic radiographic examinations. The oral examinations showed a relatively low sensitivity of 66.2% and a specificity of 43.7% in detecting tooth loss compared with panoramic radiography. Conclusions: Panoramic radiography can provide information that is difficult to obtain in oral examinations, such as root caries, furcation involvement, and subgingival calculus, which are factors that can directly affect the survival rate of teeth. It therefore seems reasonable and necessary to add panoramic radiography to large-scale health checkup programs such as that provided by the NHIS.

Object-based Image Classification by Integrating Multiple Classes in Hue Channel Images (Hue 채널 영상의 다중 클래스 결합을 이용한 객체 기반 영상 분류)

  • Ye, Chul-Soo
    • Korean Journal of Remote Sensing
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    • v.37 no.6_3
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    • pp.2011-2025
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    • 2021
  • In high-resolution satellite image classification, when the color values of pixels belonging to one class are different, such as buildings with various colors, it is difficult to determine the color information representing the class. In this paper, to solve the problem of determining the representative color information of a class, we propose a method to divide the color channel of HSV (Hue Saturation Value) and perform object-based classification. To this end, after transforming the input image of the RGB color space into the components of the HSV color space, the Hue component is divided into subchannels at regular intervals. The minimum distance-based image classification is performed for each hue subchannel, and the classification result is combined with the image segmentation result. As a result of applying the proposed method to KOMPSAT-3A imagery, the overall accuracy was 84.97% and the kappa coefficient was 77.56%, and the classification accuracy was improved by more than 10% compared to a commercial software.

Validity and Reliability of Cognitive Performance Scale in Long Term Care Hospital in Korea (인지수행척도(Cognitive Performance Scale)의 타당도와 신뢰도)

  • Lee, Ji Yun;Kim, Sun Min;Kim, A Reum
    • 한국노년학
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    • v.30 no.1
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    • pp.81-91
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    • 2010
  • The purpose of this study was to test a validity and reliability of Cognitive Performance Scale(CPS), a cognitive measure generated from 5 items(comatose status, decision making, short-term memory, making self understood, and eating). Method: 393 patients in 2 hospitals for the elderly with dementia were measured with CPS by two nurses independently. The inter-rater agreement was tested by comparing two scores. The CPS score was compared with GDS, which was measured by doctors and nurses, and MMSE score which was drawn from the claim data of Health Insurance Review & Assessment Service. Result: The correlation coefficient between CPS and GDS was 0.742(p<0.0001), CPS and MMSE was -0.794(p<0.0001). The Cronbach's coefficient alpha of CPS was 0.742, Kappa value was 0.772~1.000. The CPS showed high validity and reliability in long term care hospitals of Korea.

Comparison of traditional dental plaque indices with real stained plaque area (실제 착색된 치면세균막 면적과 전통적인 치면세균막 지수 비교)

  • Kim, Ji-Soo;Yang, Yong-Hoon;Jun, Eun-Joo;Kim, Jin-Bom;Jeong, Seung-Hwa
    • Journal of Korean Academy of Oral Health
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    • v.41 no.4
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    • pp.262-266
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    • 2017
  • Objectives: The aim of this study was to compare Plaque Percent Index (PPI), calculated by Patient Hygiene Performance Index (PHPI), Rustogi's modification of the Navy Plaque Index (RMNPI), and the Quigley & Hein Plaque Index (QHPI), with visual assessment. Methods: Ninety-six subjects, aged between 30-65 years, were examined; twenty subjects were included in the final analysis. The subjects' teeth were stained and photographed. Dental coloring and intraoral camera photography were performed by a single examiner. The oral images obtained were analyzed using Image J to measure the area of dental plaque. The values of PHPI, RMNPI, and QHPI were calculated twice. Statistical analyses were performed using descriptive statistics, chi-square test, and Pearson's correlation coefficient. Results: The results of the correlation analyses of PPI with PHPI, QHPI, and RMNPI were as follows: for PHPI, the correlation coefficient (r)=0.584; for QHPI, r=0.689; and for RMNPI, r=0.729. Further, the kappa indices of PHPI, QHPI, and RMNPI were 0.810, 0.677, and 0.590 respectively. Conclusions: Among RMNPI, QHPI, and PHPI dental plaque indices, RMNPI and QHPI showed a high degree of correlation with the actual stained dental plaque area; on the other hand, PHPI showed the highest kappa index.

Agreement between cone-beam computed tomography and functional endoscopic sinus surgery for detection of pathologies and anatomical variations of the paranasal sinuses in chronic rhinosinusitis patients: A prospective study

  • Nikkerdar, Nafiseh;Eivazi, Nastaran;Lotfi, Mohana;Golshah, Amin
    • Imaging Science in Dentistry
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    • v.50 no.4
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    • pp.299-307
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    • 2020
  • Purpose: The diagnosis of chronic rhinosinusitis requires a comprehensive knowledge of the signs and symptoms of the disease and an accurate radiographic assessment. Computed tomography (CT) is the superior imaging modality for diagnosis of chronic rhinosinusitis. However, considering the lower dose and higher resolution of cone-beam computed tomography (CBCT) compared to CT, this study aimed to assess the agreement between the findings of CBCT and functional endoscopic sinus surgery (FESS). Materials and Methods: This descriptive prospective study evaluated 49 patients with treatment-resistant chronic rhinosinusitis who were candidates for FESS. Preoperative CBCT scans were obtained before patients underwent FESS. The agreement between the CBCT findings and those of FESS was determined using the kappa correlation coefficient. The frequency of anatomical variations of the paranasal sinuses was also evaluated on CBCT scans. Results: Significant agreement existed between pathological findings on CBCT scans and those of FESS, such that the kappa correlation coefficient was 1 for mucosal thickening, 0.644 for nasal deviation, 0.750 for concha bullosa, 0.918 for nasal polyp, 0.935 for ostiomeatal complex (OMC) obstruction, and 0.552 for infundibulum thickening. Furthermore, 95.9% of patients had 1 or more and 79.6% had 2 or more anatomical variations, of which nasal deviation was the most common (67.3%). Conclusion: Considering the significant agreement between the findings of CBCT and FESS for the detection of pathological changes in the paranasal sinuses, CBCT can be used prior to FESS to detect chronic rhinosinusitis and to assess anatomical variations of the OMC.

Reliability of Coronary Artery Calcium Severity Assessment on Non-Electrocardiogram-Gated CT: A Meta-Analysis

  • Jin Young Kim;Young Joo Suh;Kyunghwa Han;Byoung Wook Choi
    • Korean Journal of Radiology
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    • v.22 no.7
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    • pp.1034-1043
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    • 2021
  • Objective: The purpose of this meta-analysis was to investigate the pooled agreements of the coronary artery calcium (CAC) severities assessed by electrocardiogram (ECG)-gated and non-ECG-gated CT and evaluate the impact of the scan parameters. Materials and Methods: PubMed, EMBASE, and the Cochrane library were systematically searched. A modified Quality Assessment of Diagnostic Accuracy Studies-2 tool was used to evaluate the quality of the studies. Meta-analytic methods were utilized to determine the pooled weighted bias, limits of agreement (LOA), and the correlation coefficient of the CAC scores or the weighted kappa for the categorization of the CAC severities detected by the two modalities. The heterogeneity among the studies was also assessed. Subgroup analyses were performed based on factors that could affect the measurement of the CAC score and severity: slice thickness, reconstruction kernel, and radiation dose for non-ECG-gated CT. Results: A total of 4000 patients from 16 studies were included. The pooled bias was 62.60, 95% LOA were -36.19 to 161.40, and the pooled correlation coefficient was 0.94 (95% confidence interval [CI] = 0.89-0.97) for the CAC score. The pooled weighted kappa of the CAC severity was 0.85 (95% CI = 0.79-0.91). Heterogeneity was observed in the studies (I2 > 50%, p < 0.1). In the subgroup analysis, the agreement between the CAC categorizations was better when the two CT examinations had reconstructions based on the same slice thickness and kernel. Conclusion: The pooled agreement of the CAC severities assessed by the ECG-gated and non-ECG-gated CT was excellent; however, it was significantly affected by scan parameters, such as slice thickness and the reconstruction kernel.

Establishment and Evaluation of GC/MS Methods for Urinalysis of Multiple Phenethylamines

  • Po-Han Shih;Tsung-Hsien Lin;Shih-Ting Zeng;Shu-Yu Fan;Chi-Zong Zang;Ya-Chun Ko;Ya-Hui Hsu;Shou-Chieh Huang;Mei-Chih Lin;Su-Hsiang Tseng
    • Mass Spectrometry Letters
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    • v.15 no.2
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    • pp.79 -94
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    • 2024
  • Over the past few decades, new psychoactive substances (NPS) have become prevailing. With the widespread emergence of NPS, phenethylamines (PEAs) have become one of the groups abused most which PEAs, along with other stimulants, make up the majority of stimulants. When determining the NPS, the methods for screening and confirmation are crucial which assesses the reliability of testimony. In this study, a set of GC/MS methods employing two derivatizing agents for determining 76 target PEAs in urine was established and further applied for authentic sample analysis. Five PEAs (N,N-DMA, PMMA, 4-CA, amphetamine, and methamphetamine) with contents over their LLOQs were detected in thirteen of the twenty tested samples. In order to compare the result from the GC/MS methods with the previously established LC-MS/MS method, Cohen's kappa coefficient and McNemar's test were applied for statistical analysis. Perfect agreement between GC/MS and LC-MS/MS techniques for determining target PEAs is demonstrated by the Kappa coefficient for each of the five detected targets.

Optical Properties of Sea Water in the Western Channel of the Korea Strait (대한해협에서의 해수의 광학적 성질)

  • YANG Yong-Rhim
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.15 no.2
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    • pp.171-177
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    • 1982
  • Optical properties of sea water were studied in the western channel of the Korea Strait, based on the data obtained from fifteen oceanographic stations in July, 1980. Submarine daylight intensity was measured at intervals of 5m depth in the upper 70m layer by using the underwater irradiameter (Kahlsico $\#268_{WA}360$). The mean absorption coefficients of the sea water were shown as $0.098(0.063\sim0.183),\;0.129(0.090\sim0.270), 0.081(0.044\sim0.142),\;and 0.087(0.036\sim0,142)$ for clear, red, green, and blue color respectively. The transparency ranged from 11.5 to 24m(mean 18.3m). The mean water color in this area was $3.5(3\sim4)$ in Forel scales. The relation between absorption coefficient $(\kappa)$ and transparency (D) was $\kappa=1.72/D,\;\kappa=2.33/D,\;\kappa=1.41/D,\;and \kappa=1.44/D$ for clear, red, green, and blue color respectively. The rates of light penetration for clear, red, green, and blue color in four different depths were computed with reference to the surface light intensity respectively. The mean rates of light penetration in proportion to depths were as follows; clear : $57.90\% (5m),\;23.40\%\;(15m),\;6.23\%\;(30m),\;1.00\%\;(50m).$ $red\;:\;48.95\%\;(5m),\;14,81\%\;(15m),\;2.76\%\;(30m),\;0.28\%\;(50m).$ $green:\;63.20\%\;(5m),\;30.47\%\;(15m),\;10.03\%\;(30m),\;2.24\%\;(50m).$ $blue\;:\;62.70\%\;(5m),\;30.00\%\;(15m),\;9.75\%\;(30m),\;1.70\%\;(50m)$

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Numerical Study on Viscous Wakes of Two-Dimensional Screens Normal to the Uniform Stream (균일유동에 수직인 2차원 스크린 후류의 점성유동에 관한 수치적 연구)

  • 강신형;전우평
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.12 no.3
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    • pp.590-598
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    • 1988
  • Viscous flows through a screen normal to an uniform flow are numerically simulated. A .kappa.-.epsilon. model is adopted for evaluation of the Reynolds stresses. The existence of a screen is regarded as extra sources in the momentum equations. The amount of extra sources is related to the resistance coefficient and the refraction coefficient of the screen. Flows are numerically simulated for various resistance coefficients and heights of the screen and Reynolds numbers. The present method has been verified to reasonably simulate viscous wakes and shear layers of the screen, for which the inviscid theory is quite limitted. As the fluids approach the screen, the velocity is reduced and the pressure is raised to satisfy the Bernoulli equation. After passing the screen, the velocity shows its minimum value at the down-stream, but static pressure is slowly recovered. A detached separation-bubble from the screen appears as the resistance coefficient is increased to a certain level. Such results are qualitatively in agreement with limitted experimental data available. The turbulent kinetic energy shows its maximum value at further down stream and decrease thereafter.

Steady-State and Transient Response Analysis of DSSC Based on Electron Diffusion Coefficient and Chemical Capacitance

  • J. C. Gallegos;J. Manriquez;R. Rodriguez;S. Vargas;D. Rangel
    • Journal of Electrochemical Science and Technology
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    • v.15 no.2
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    • pp.276-290
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    • 2024
  • A study of the transition from transitory state to steady state in DSSCs based on natural dyes is presented; cochineal was used as dye and Li+, Na+, and K+ were the ions added to the electrolyte. The photocurrent profiles were obtained as a function of time. Several DSSCs were prepared with different cations and their role and the transitory-to-steady transition was determined. A novel hybrid charge carrier source model based on the Heaviside function H(t) and the Lambert-Beer law, was developed and applied to analysis of the transient response of the output photocurrent. Additionally, the maximum effective light absorption coefficient α and the electronic extraction rate κ for each ion were determined: ${\alpha}_{Li^+,Na^+,K^+}\,=\,(0.486,\,0.00085,\,0.1126)\,cm^{-1}$, and also the electronic extraction rate ${\kappa}^{Li^+,Na^+,K^+}_{ext.}\,=\,(1410,\,19.07,\,19.69)\,cm\,s^{-1}$. The impedance model using Fick's second law was developed for carrier recombination to characterize the photocurrent.