• 제목/요약/키워드: predictive validity

검색결과 226건 처리시간 0.025초

한국형 성인 환자 섬망 선별 도구 개발 (Development of Korean Adult Patients Delirium Screening Tool)

  • 정혜원;문선희;최명이;이정아;안신혜;전지혜;유지나;김희진;변지은;김숙영;성인숙
    • 임상간호연구
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    • 제29권2호
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    • pp.198-209
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    • 2023
  • Purpose: The purpose of this study was to develop a Korean Adult Patients Delirium Screening Tool (K-APDS) for those admitted to general wards, and to verify its reliability and validity. Methods: For the development of the tool, 12 items were derived through the results of literature review and focus group interviews with general ward nurses, and the content validity was confirmed by experts. To verify the reliability and validity of the developed tool, 317 adult patients who were admitted to general wards of three tertiary general hospitals from October to November 2022 were evaluated by the attending nurse and data were collected. Results: After factor analysis for construct validity verification, two factors were extracted, which explained 60.1% of the total variance. After the validation of the control group, the difference in the delirium incidence scores calculated using the K-APDS between the delirium group and non-delirium group was very significant (Z=-10.82, p<.001). To verify the criterion validity, K-APDS, Delirium Observation Screening, and Pearson's correlation coefficient were checked and found to be .94 (p<.001). The predictive validity test reported that the sensitivity was 91.1%, specificity was 82.4%, positive predictive value was 52.6%, and negative predictive value was 97.8%. The reliability of K-APDS was found to be high with Cronbach's ⍺=.91. Conclusion: K-APDS can screen for delirium with 2 or more points, excellent validity and reliability have been verified. Therefore, this tool could be applied immediately in the clinical field, and will contribute to the early detection of delirium, enabling rapid interventions.

Predictions for Progressively Type-II Censored Failure Times from the Half Triangle Distribution

  • Seo, Jung-In;Kang, Suk-Bok
    • Communications for Statistical Applications and Methods
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    • 제21권1호
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    • pp.93-103
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    • 2014
  • This paper deals with the problem of predicting censored data in a half triangle distribution with an unknown parameter based on progressively Type-II censored samples. We derive maximum likelihood predictors and some approximate maximum likelihood predictors of censored failure times in a progressively Type-II censoring scheme. In addition, we construct the shortest-length predictive intervals for censored failure times. Finally, Monte Carlo simulations are used to assess the validity of the proposed methods.

전력 계통 시스템에서 고조파 저감을 위한 직렬형 능동 전력 필터의 예측형 제어 기법 (A Predictive control technique of Series Active Power Filter for Harmonic Reduction in Power System)

  • 김명복;문건우;윤명중
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2001년도 추계학술대회 논문집 전기기기 및 에너지변환시스템부문
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    • pp.187-191
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    • 2001
  • A predictive control scheme, as a new control scheme, of series active power filter is presented and analyzed in this paper. It is composed of cascaded control scheme. Its validity is proved through simulations using PSIM.

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수정욕창위험 사정도구의 예측타당도 평가 (Evaluating the Predictive Validity for the New Pressure Sores Risk Assessment Scale)

  • 김시숙;최경숙
    • 성인간호학회지
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    • 제16권2호
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    • pp.183-190
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    • 2004
  • Purpose: The purpose of this study was To exam the skin and pressure sore and To evaluate the predictive validity for the new pressure sores risk assessment scale. Method: There was finally 211 neurosurgery subject admitted in Chung-Ang Univ. Hospital from Nov, 11, 2002 to Feb, 11, 2003. Data was collected three times per week from 48-72hr after admission until incidence of pressure sores or discharge or die. Inclusion criteria were; (1) no pressure sores at admittance, (2) at least 3 times assessment, (3) adults older than 16yrs, (4) patients consent to participate in study. Result: 1. 34 case of 211 developed pressure sores(11.6%). 2. The coccyx area was the most common occurrence site of pressure sores. 3. At the cutoff point 23 of sensitivity 100%, specificity 76.3% was higher in 2003 than specificity 63.8% at the cutoff point 26 of sencitivity 100% in 1991. 4. "Moisture" of subscale for pressure sores risk factor was the strongest predictor. Conclusion: This study shows that the New Pressure Sores Risk Assessment Scale still predict the risk of developing pressure sores in neurosurgical subject.

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Reconsideration of F1 Score as a Performance Measure in Mass Spectrometry-based Metabolomics

  • Jeong, Jaesik;Kim, Han Sol;Kim, Shin June
    • 통합자연과학논문집
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    • 제11권3호
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    • pp.161-164
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    • 2018
  • Over the past decade, mass spectrometry-based metabolomics, especially two dimensional gas chromatography mass spectrometry (GCxGC/TOF-MS), has become a key analytical tool for metabolomics data because of its sensitivity and ability to analyze complex biological or biochemical sample. However, the need to reduce variations within/between experiments has been reported and methodological developments to overcome such problem has long been a critical issue. Along with methodological developments, developing reasonable performance measure has also been studied. Following four numerical measures have been typically used for comparison: sensitivity, specificity, receiver operating characteristic (ROC) curves, and positive predictive value (PPV). However, more recently, such measures are replaced with F1 score in many fields including metabolomics area without any carefulness of its validity. Thus, we want to investigate the validity of F1 score on two examples, with the goal of raising the awareness in choosing appropriate performance comparison measure. We noticed that F1 score itself, as a performance measure, was not good enough. Accordingly, we suggest that F1 score be supplemented with other performance measure such as specificity to improve its validity.

뇌졸중 환자에서 '환자 주도적 총체적 영양사정' 도구의 신뢰도 및 타당도 평가 (The Reliability and Validity of Patient-Generated Subjective Global Assessment (PG-SGA) in Stroke Patients)

  • 유성희;오의금;윤미정
    • 성인간호학회지
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    • 제21권6호
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    • pp.559-569
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    • 2009
  • Purpose: This study was to examine the reliability and validity of Patient-Generated Subjective Global Assessment (PG-SGA) as a nutritional measurement for stroke patients. Methods: This was a methodological study performed from May 6 to June 10, 2009 at a tertiary university hospital in Seoul. For reliability of PG-SGA, inter-rater reliability was used for statistics. For concurrent validity, BMI and biomarkers were compared between PG-SGA 0 ~ 8 and ${\geq}$ 9. In addition, sensitivity, specificity, and predictive value of PG-SGA compared with SGA were calculated using a contingency table. For predictive validity, hospital day, complications, and readmission within 1-month after discharge were compared between PG-SGA 0 ~ 8 and ${\geq}$ 9. Results: Correlation of PG-SGA score between two observers was 0.83, and kappa value for the agreement of severe malnutrition was 0.78(all $p_s$ < .001). The scored PG-SGA showed high sensitivity and specificity (100% and 96.7%, respectively). Severe undernourished patients (PG-SGA ${\geq}$ 9) had significantly low TLC, protein, albumin, and prealbumin (all $p_s$ < .01) compared with non-undernourished patients (PG-SGA 0 ~ 8). Also, in severe undernourished patients, complications and readmission (all $p_s$ = 0.01) were more often represented, and hospital days (p = .013) were significantly delayed. Conclusion: PG-SGA is a reliable and valid measurement to assess nutritional status for stroke patients.

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정신건강의학과 입원 환자를 위한 낙상 위험 사정도구 (Edmonson Psychiatric Fall Risk Assessment Tool)의 타당도 평가: 후향적 연구 (Validation of the Edmonson Psychiatric Fall Risk Assessment Tool for Psychiatric Inpatients: A Retrospective Study)

  • 김경영;손영선;이유지;김지은;김미경;이영희
    • 임상간호연구
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    • 제28권3호
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    • pp.270-276
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    • 2022
  • Purpose: The purpose of this study was to validate the Edmonson psychiatric fall risk assessment tool (EPFRAT) for psychiatric inpatients. Methods: Data from retrospective study were collected from 670 adult inpatients in two departments of mental health medicine of a tertiary general hospital by reviewing their electronic medical records. There were 41 patients who experienced falls and 629 patients who did not experience falls during the period from January to December 2019. Data were analyzed by sensitivity, specificity, positive predictive value, negative predictive value, and a receiver-operating characteristic curve (ROC) for validity assessment using the IBM SPSS/WIN 26.0 program. Results: Factors affecting falls were the participant's age, guardian's residence, high-risk determination at the time of admission, and comorbidity. At the 85 points where the point of sum of the sensitivity and specificity was largest, the sensitivity, specificity, positive predictive value, and negative predictive value of EPFRAT were 92.7%, 79.7%, 22.9%, and 99.4%, respectively. The area under the ROC to assess the overall validity of the tool was .92 (95% CI 0.89~0.94). Conclusion: The EPFRAT was proved to be valid and reasonable for predicting falls in psychiatric inpatients. Based on the results of this study, it could be used for the assessment of high-risk patients for falls in psychiatric units.

A Novel Discrete-Time Predictive Current Control for PMSM

  • Sun, Jung-Won;Suh, Jin-Ho;Lee, Young-Jin;Lee, Kwon-Soon
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2004년도 ICCAS
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    • pp.1915-1919
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    • 2004
  • In this paper, we propose a new discrete-time predictive current controller for a PMSM(Permanent Magnet Synchronous Motor). The main objectives of the current controllers are to ensure that the measured stator currents tract the command values accurately and to shorten the transient interval as much as possible, in order to obtain high-performance of ac drive system. The conventional predictive current controller is hard to implement in full digital current controller since a finite calculation time causes a delay between the current sensing time and the time that it takes to apply the voltage to motor. A new control strategy in this paper is seen the scheme that gets the fast adaptation of transient current change, the fast transient response tracking and is proposed simplified calculation. Moreover, the validity of the proposed method is demonstrated by numerical simulations and the simulation results will be verified the improvements of predictive controller and accuracy of the current controller.

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후향적 자료분석을 통한 낙상위험 사정도구의 타당도 비교: 종합병원 입원 환자를 중심으로 (Validation of Fall Risk Assessment Scales among Hospitalized Patients in South Korea using Retrospective Data Analysis)

  • 강영옥;송라윤
    • 성인간호학회지
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    • 제27권1호
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    • pp.29-38
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    • 2015
  • Purpose: The purpose of the study was to validate fall risk assessment scales among hospitalized adult patients in South Korea using the electronic medical records by comparing sensitivity, specificity, positive predictive values, and negative predictive values of Morse Fall Scale (MFS), Bobath Memorial Hospital Fall Risk Assessment Scale (BMFRAS), and Johns Hopkins Hospital Fall Risk Assessment tool (JHFRAT). Methods: A total of 120 patients who experienced fall episodes during their hospitalization from June 2010 to December 2013 was categorized into the fall group. Another 120 patients, who didn't experience fall episodes with age, sex, clinical departments, and the type of wards matched with the fall group, were categorized to the comparison group. Data were analyzed for the comparisons of sensitivity, specificity, positive and negative predictive values, and the area under the curve of the three tools. Results: MFS at a cut-off score of 48 had .806 for ROC curves, 76.7% for sensitivity, 77.5% for specificity, 77.3% for positive predictive value, and 76.9% for negative predictive value, which were the highest values among the three fall assessment scales. Conclusion: The MFS with the highest score and the highest discrimination was evaluated to be suitable and reasonable for predicting falls of inpatients in med-surg units of university hospitals.

LonWorks-IP 가상 디바이스 네트워크상에서 예지 및 예방보전을 위한 DC 서보모터의 분산제어 (Distributed Control of DC Servo Motor on LonWorks-IP Virtual Device Network for Predictive and Preventive Maintenance)

  • 송기원
    • 한국안전학회지
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    • 제21권4호
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    • pp.25-32
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    • 2006
  • LonWorks over IP(LonWorks-IP) virtual device network(VDN) is an integrated form of LonWorks device network and IP data network. In especially real-time distributed servo applications on the factory floor, timely response is essential for predictive and preventive maintenance. The time delay in servo control on LonWorks-IP based VDN has highly stochastic nature. LonWorks-IP based VDN induced transmission delay deteriorates the performance and stability of the real-time distributed control system and can't give an effective preventive and predictive maintenance. In order to guarantee the stability and performance of the system, and give an effective preventive and predictive maintenance, LonWorks-IP based VDN induced time-varying uncertain time delay needs to be predicted and compensated. In this paper new Pill control scheme based on Smith predictor, disturbance observer and band pass filter is proposed and tested through computer simulation about position control of DC servo motor. It is shown that how can the proposed control scheme be designed to minimize the effects of uncertain varying time delay and model uncertainties. The validity of the proposed control scheme is compared and demonstrated with the comparison of internal model controllers(IMC) based on Smith predictor with and without disturbance observer.