• Title/Summary/Keyword: levels of evidence

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A Validity Study on the Vocabulary Grade Levels Test for Korean Elementary Students

  • Shin, Yousun
    • English Language & Literature Teaching
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    • v.18 no.2
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    • pp.125-147
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    • 2012
  • The primary goal of the study was to provide some preliminary validity evidence for the Vocabulary Grade Levels Test (Busan Metropolitan City Office of Education, 2009), which is designed to measure the receptive vocabulary knowledge of learners in L2. For the purpose of the current study, 327 participants at the elementary school participated in the study and were asked to take two different vocabulary tests. Namely, a Vocabulary Size Test (Nation, 2001) and a Vocabulary Grade Levels Test. The data were analyzed using correlation in order to discover the relationship between these two types of tests. Following this, the Rasch analysis was conducted to examine the reliability and validity of the measurement in question. The data analysis showed that both grade separation reliability and item separation reliability were high, indicating that the Vocabulary Grade Levels Test well discriminates learners with a wide range of proficiency levels. The findings of the study are discussed, along with further improvements in order to ascertain the validity of this particular vocabulary test.

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Association of Serum Vitamin D Levels with Bacterial Load in Pulmonary Tuberculosis Patients

  • Yuvaraj, B.;Sridhar, M.G.;Kumar, S. Vinod;Kadhiravan, T.
    • Tuberculosis and Respiratory Diseases
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    • v.79 no.3
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    • pp.153-157
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    • 2016
  • Background: Vitamin D is known to have diverse effects on various systems in the body. There is evidence to suggest that a link exists between the serum vitamin D status and tuberculosis. The present study was designed to assess the alterations in serum 25-hydroxyvitamin D levels in newly diagnosed sputum acid fast bacilli (AFB) positive pulmonary tuberculosis patients and to study the association, if any, between serum vitamin D levels and different levels of sputum smear positivity. Methods: Serum 25-hydroxyvitamin D levels were estimated in 65 sputum AFB positive pulmonary tuberculosis patients and 65 age and gender-matched healthy controls. Results: The levels of serum 25 hydroxy-vitamin D in tuberculosis patients were not statistically different from the levels of serum 25 hydroxy-vitamin D in healthy controls. However, among patients with pulmonary tuberculosis, there was a significant negative correlation between the levels of serum 25 hydroxy-vitamin D and levels of sputum positivity. Conclusion: Serum vitamin D levels negatively correlates with bacterial load in patients with active pulmonary tuberculosis.

A Comprehensive and Comparative Review of Global Gastric Cancer Treatment Guidelines

  • Eom, Sang Soo;Choi, Wonyoung;Eom, Bang Wool;Park, Sin Hye;Kim, Soo Jin;Kim, Young Il;Yoon, Hong Man;Lee, Jong Yeul;Kim, Chan Gyoo;Kim, Hark Kyun;Kook, Myeong-Cherl;Choi, Il Ju;Kim, Young-Woo;Park, Young Iee;Ryu, Keun Won
    • Journal of Gastric Cancer
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    • v.22 no.1
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    • pp.3-23
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    • 2022
  • Countries differ in their treatment expertise and research results regarding gastric cancer; hence, treatment guidelines are diverse based on evidence and medical situations. A comprehensive and comparative review of each country's guidelines is imperative to understand the similarities and differences among countries. We reviewed and compared five gastric cancer treatment guidelines in terms of endoscopic, surgical, perioperative, and palliative systemic treatment based on evidence levels and recommendation grades, as well as the postoperative follow-up strategies for each guideline. The Korean, Chinese, and European guidelines provided evidence and grading of the recommendations. The United States guidelines suggested categories for evidence and consensus. The Japanese guidelines suggested evidence and recommendations only for systemic treatment. The Korean and Japanese guidelines described endoscopic treatment, surgery, and lymphadenectomy in detail. The Chinese, United States, and European guidelines more intensively considered perioperative chemotherapy. In particular, the indications for chemotherapy and the regimens recommended by each guideline differed slightly. Considering their medical situations, each guideline had some diversity in terms of adopting evidence, which resulted in heterogeneous recommendations. This review will help medical personnel to comprehensively understand the diversity in gastric cancer treatment guidelines for each country in terms of evidence and recommendations.

Uncovering Income Class Heterogeneity in Self-Reported Anxiety Levels among Indonesians Before and During the COVID-19 Pandemic

  • Indera Ratna Irawati Pattinasarany
    • Asian Journal for Public Opinion Research
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    • v.12 no.2
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    • pp.75-101
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    • 2024
  • This study investigates the variation in anxiety levels across income classes in the wake of the COVID-19 pandemic in Indonesia. The research is based on data from nationally representative surveys conducted in 2017 and 2021, and it employs a multilevel mixed-effects ordered logistic model. The unique aspect of this investigation lies in its utilization of the Cantril ladder, a commonly employed tool in public opinion research, to gauge anxiety levels. Participants are prompted to assess their present life circumstances concerning their daily worries and anxieties. The empirical findings provide evidence that individuals in provinces with higher exposures to COVID-19 reported heightened anxiety levels. Furthermore, the results highlight a consistent association between higher household income and lower levels of anxiety. Notably, individuals from the highest income group experienced a substantial decline in anxiety levels during the pandemic. When examining specific income classes, the study reveals heightened anxiety among women in higher-income brackets and among lower-income households residing in urban areas. Furthermore, regarding macroeconomic circumstances, the results illustrate a positive correlation between economic prosperity and anxiety levels among members of low-income households. The study also uncovers a positive connection between income inequality and self-assessed anxiety within upper-middle and high-income brackets.

Urine and Hair Metal Concentrations in Subjects with Long Term Intake of Herbal Medicine

  • Park Yeong-Chul;Lee Sun-Dong;Park Hae-Mo;Kim Jong-Bong
    • Toxicological Research
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    • v.22 no.1
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    • pp.47-54
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    • 2006
  • One of the main attractions of treatment with herbal medicine is its apparent lack of side effects compared with the drug therapies used in allopathic medicine. However, evidence from various countries suggest that Asian herbal medicine carry a significant risk of contamination with toxic heavy metals at levels that may seriously threaten health. The aims of this study were to analyze and compare concentrations of heavy metals in urine and hair from 184 patients taking herbal medicines in the form of decoctions and/or pills in comparison to 101 control subjects taking either Western or no medications. Levels of metal concentrations exceeding WHO reference values were observed in a number of hair and urine samples for all subjects. After adjusting for potential confounders, taking decoctions or pills was associated with higher levels of some metals (such as Cu, Pb in urine), as well a higher odds ratio of exceeding the upper limit of reference ranges for Pb, Hg in hair. In contrast, taking decoctions or pills was associated with lower levels of some metals (such as Cu in urine and Cd, Cu, Hg, Pb in hair), suggesting that some herbal medicines may have a chelating effect on heavy metals in the body. Overall, the results obtained in the study show a mixed picture and suggest that heavy metals contamination in herbs is sometimes present, but may also be counteracted by the potential for some herbal medicines to act as chelating agents. Further study must be followed to obtain more concrete evidence.

Association of serum ferritin level and depression with respect to the body mass index in Korean male adults

  • Lee, Hea Shoon;Park, Eunmi
    • Nutrition Research and Practice
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    • v.13 no.3
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    • pp.263-267
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    • 2019
  • BACKGROUD/OBJECTIVES: Obesity is globally a major public health issue. Evidence suggests that elevated ferritin levels are associated with obesity, dyslipidemia, insulin resistance, and metabolic syndrome. This study was undertaken to examine the relationship between the serum ferritin level and depression in Korean male adults with respect to classification of the prevailing obesity. SUBJECTS/METHODS: This was a case-control study; subjects were classified into obese group (${\geq}25.0kg/m^2$, 28 subjects) and normal group ($18.5-22.9kg/m^2$, 27 subjects). A survey was conducted to assess the depression levels as per the guidelines suggested by the Center program for Epidemiological Studies-Depression (CES-D). Blood was collected from each group for assessing biomarkers, and isolated plasma was evaluated for fasting glucose, insulin, quantitative insulin sensitivity check index, and ferritin levels. Data were analyzed, and groups were compared with respect to Body Mass Index (BMI), depression scale and biomarkers. RESULTS: The average depression score of the obesity group was 16.86, which was higher than the normal group (12.56). Subjects scoring more than 16 points comprised 53.6% of the population in the obese group, which was more than double that in the normal group, as assessed by the CES-D program. Furthermore, the serum ferritin level of the obesity group was 207.12 ng/mL, which was higher than that of the normal group (132.66 ng/mL). Lastly, the BMI appeared to be significantly correlated with both depression (r = 0.320, P = 0.017) and elevated ferritin levels (r = 0.352, P = 0.008). CONCLUSION: This study provides evidence of existing correlation between ferritin and depression with obesity.

A study of flaps in American English based on the Buckeye Corpus (Buckeye corpus에 나타난 탄설음화 현상 분석)

  • Hwang, Byeonghoo;Kang, Seokhan
    • Phonetics and Speech Sciences
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    • v.10 no.3
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    • pp.9-18
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    • 2018
  • This paper presents an acoustic and phonological study of the alveolar flaps in American English. Based on the Buckeye Corpus, the flapping tokens produced by twenty men are analyzed at both lexical and post-lexical levels. The data, analyzed with Pratt speech analysis, include duration, F2 and F3 in voicing during the flap, as well as duration, F1, F2, F3, and f0 in the adjacent vowels. The results provide evidence on two issues: (1) The different ways in which voiced and voiceless alveolar stops give rise to neutralized flapping stops by following lexical and post-lexical levels, (2) The extent to which the vowel features (height, frontness, and tenseness) affect flapping sounds. The results show that flaps are affected by pre-consonantal vowel features at the lexical as well as post-lexical levels. Unlike previous studies, this study uses the Praat method to distinguish flapped from unflapped tokens in the Buckeye Corpus and examines connections between the lexical and post-lexical levels.

Systematic review of the effect of coenzyme Q10 on antioxidant capacity while focused on evaluation of claims for health functional food (건강기능식품의 기능성을 중심으로 한 코엔자임Q10의 항산화 기능성에 대한 체계적 고찰)

  • Kim, Ji Yeon;Jeong, Sewon;Paek, Ju Eun;Kim, Joohee;Kwak, Jin Sook;Lee, Yoon Jung;Kang, Tae Seok;Kwon, Oran
    • Journal of Nutrition and Health
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    • v.46 no.3
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    • pp.218-225
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    • 2013
  • Although the functional ingredient has been evaluated by the Korea Food and Drug Administration (KFDA) based on scientific evidence, the levels of scientific evidence and consistency of the results might vary according to emerging data. Therefore, periodic re-evaluation may be needed for some functional ingredients. In this study, we re-evaluated scientific evidence for the antioxidant activity of coenzyme Q10 as a functional ingredient in health functional food. Literature searches were conducted using the Medline and Cochrane, KISS, and IBIDS databases for the years 1955-2010 with the search term of coenzyme Q10 in combination with antioxidant. The search was limited to human studies published in Korean, English, and Japanese. Using the KFDA's evidence based evaluation system for scientific evaluation of health claims, 33 human studies were identified and reviewed in order to evaluate the strength of the evidence supporting a relation between coenzyme Q10 and antioxidant activity. Among 33 studies, significant effects for antioxidant activities were reported in 22 studies and their daily intake amount was 60 to 300 mg. Based on this systematic review, we concluded that there was possible evidence to support a relation between coenzyme Q10 intake and antioxidant activities. However, because inconsistent results have recently been reported, future studies should be monitored.

Predicting CEFR Levels in L2 Oral Speech, Based on Lexical and Syntactic Complexity

  • Hu, Xiaolin
    • Asia Pacific Journal of Corpus Research
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    • v.2 no.1
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    • pp.35-45
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    • 2021
  • With the wide spread of the Common European Framework of Reference (CEFR) scales, many studies attempt to apply them in routine teaching and rater training, while more evidence regarding criterial features at different CEFR levels are still urgently needed. The current study aims to explore complexity features that distinguish and predict CEFR proficiency levels in oral performance. Using a quantitative/corpus-based approach, this research analyzed lexical and syntactic complexity features over 80 transcriptions (includes A1, A2, B1 CEFR levels, and native speakers), based on an interview test, Standard Speaking Test (SST). ANOVA and correlation analysis were conducted to exclude insignificant complexity indices before the discriminant analysis. In the result, distinctive differences in complexity between CEFR speaking levels were observed, and with a combination of six major complexity features as predictors, 78.8% of the oral transcriptions were classified into the appropriate CEFR proficiency levels. It further confirms the possibility of predicting CEFR level of L2 learners based on their objective linguistic features. This study can be helpful as an empirical reference in language pedagogy, especially for L2 learners' self-assessment and teachers' prediction of students' proficiency levels. Also, it offers implications for the validation of the rating criteria, and improvement of rating system.

Factors Affecting Application of Cost Management Accounting: Evidence from Small and Medium Enterprises in Vietnam

  • NGUYEN, Co Trong;NGUYEN, Tung Dao;NGO, Hoang Thanh
    • The Journal of Asian Finance, Economics and Business
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    • v.9 no.4
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    • pp.185-190
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    • 2022
  • The article analyzes the impact of factors affecting the application of management accounting in Vietnamese small and medium enterprises. It provides more empirical evidence on the factors affecting the application of cost management accounting. The research methodology involved a questionnaire survey of managers at all levels, and chief accountants and accountants of 65 Vietnamese construction enterprises. 220 questionnaires were collected in total, out of which 14 invalid questionnaires were not used due to many blank cells. The 5-level Likert scale is familiarly used in many studies, so the author also quantifies each factor according to five levels. Quantitative research was carried out with SPSS 25 software. Research results show that 4 factors positively influence the application of cost management accounting, including Business strategy, Management cost control, level of accounting staff, and Manager's point of view on cost management accounting. The level of accounting staff factor has the strongest influence on the application. Based on the research results, the author has proposed recommendations to improve the application of cost management accounting techniques of construction enterprises, thereby contributing to enhancing competitiveness and efficiency activities of construction enterprises in Vietnam.