• Title/Summary/Keyword: 검사 예측력

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Usefulness of Clinical Scoring System in the Diagnosis of Group A Streptococcal Pharyngitis (인두염 환아에서 A군 연구균 검출의 임상적 점수제의 유용성)

  • Kim, Eun-Seong;Jung, Ji-Young;Cha, Sung-Ho;Lee, Hee-Joo
    • Pediatric Infection and Vaccine
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    • v.9 no.1
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    • pp.74-78
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    • 2002
  • Purpose : Proper diagnosis of group A streptococcal pharyngitis that may cause chronic diseases in childhood is not easy because its signs and symptoms would be nonspecific. Because results of classical throat culture delays for one to two days, we'd like to determine whether early antibiotics would be introduced with according to the clinical score system. This study was undertaken to evaluate of clinical usefulness of scoring system based on the clinical and laboratory findings. Methods : From Jan. 1998 to Dec. 2000, 10 clinical items based on modified 9 items by Breese in 1977 were checked in patients with pharyngitis who visited on outpatients clinic of pediatrics, Kyunghee University Hospital. We compared the results of throat culture with the points of clinical score system. Results : Out of 45 cases, the positive culture for Group A Streptococcus was 20 and negative culture was 25. When we applied more than 30 points of score, which correspond to 70 percentile of study population, the sensitivity and specificity were 35.0% and 96.0%, respectively. Conclusion : Although sensitivity was relatively low this scoring system, but the high specificity may be useful diagnostic tool in the areas where the rate of isolation of Group A Streptococcus is low.

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An analysis on the relative importance of aptitude test items for integrated pilot aptitude evaluation (종합적 조종적성 판단을 위한 적성 검사 항목의 상대적 중요도 분석)

  • 유희천;이달호;김영준
    • Proceedings of the ESK Conference
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    • 1993.10a
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    • pp.46-55
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    • 1993
  • 조종사가 수행하는 조종 업무는 여러 정보를 동시에 지각하여 처리하여 야 하는 복잡한 작업으로 구성되어 있어, 조종사에게는 고도의 인간성능이 요구되고 있다. 또한 조종기술을 습득하기 위해서는 많은 훈련시간과 비용 이 소요되며, 조종사의 실수는 치명적인 사고를 초래한다. 따라서 조기에 비행 부적격자를 판별하고, 미흡한 조종 적성을 함양시킬 수 있는 교육 . 훈련 프로그램을 조종 후보생에게 적용시키는 분석적 조종적성 진단 체계 개발은 조 종사의 도태율 감소, 효율적인 비행훈련, 비행 안전사고 감소 등의 측면에서 절실하게 요구되고 있다. 본 연구에서는 조종 업무 수행시 요구되는 여러 인간 기능의 중요도 차이를 조종 적성 평가 체제에 적용하기 위해서, 각 적성 검사 항목들의 상대적 중요도를 분석하고 이의 타당성을 평가하였다. 적성검사 항목의 상대적 중요도 분석은 조종적성검사 계층구조의 각 수준별 쌍체 비교 평가와 AHP(Analytic Hierarchy Process) 분석에 의한 상대적 중요도 산출 및 평가, 그리고 일관성 지수(Consistency Index)에 의한 분석 결과의 조정을 통해 이루어 졌다. 적성검사 항목의 쌍체 비교 평가는 심리기능검사, 비행자질 검사 등 총 29개 적성검사 항목에 대해 검사를 받았고 또한 초등비행 훈련과정을 수료한 조종 학생들에 의해 이루어 졌다. 상대적 중요도를 분석한 결과 심리기능 검사(W=0.30)가 다른 검사에 비하여 조종적성 평가에 중요한 검사로 나타났으며, 세부 항목으로는 주의 분배력(W=0.13), 추적능력(0.06) 등이 상대적으로 중요한 검사 항목으로 나타났다. 또한 상대적 중요도 결과를 적용한 적성검사 성적이 적용하지 않은 적성검사 성적에 비해 비행성적에 대한 예측 능력이 좋은 것으로 평가되었다.al age)가 있다는 것을 의미하는 것이다. 한편, 생산현장에서는 자동화, 기계화가 진보되어 육체적인 노동이 경감된 결과, 중고령자라도 할 수 있는 작업이 많아지고 있다. 또, VDT (Visual Dislay Terminal) 작업과 같은 정보처리 작업의 수요가 증가하여 그 인재의 부족이 지적되고 있다. 따라서 중고령자의 기능을 조사하여 어떠한 작업에 적합한가를 판단하는 것이 중요한 과제로 되었다. 그러나 노동에는 많은 기능이 관여 하고, 그 내용에 따라서 요구되는 기능이 서로 다르기 때문에 노동적응능력의 기본적인 기능으로 보여지는 것에 좁혀서 작업능력의 연령증가 변화에 대하여다원적 평가를 하는 것이 실제적이라고 할 수 있다. 따라서 본 연구에서는 인간이 가지고 있는 다수의 기능중에서 수지교 치성과 연령증가와의 관계를 조사한다. 만약 연령증가 만으로 수지교치성을 평가 할 수 없는 경우에는 어떠한 요인이 수지기민성의 변화에 영향을 미치는가를 검토한다.t list)에서 자동적으로 사건들의 순서가 결정되도록 확장하였으며, 설비 제어방식에 있어서도 FIFO, LIFO, 우선 순위 방식등을 선택할 수 있도록 확장하였다. SIMPLE는 자료구조 및 프로그램이 공개되어 있으므로 프로그래머가 원하는 기능을 쉽게 추가할 수 있는 장점도 있다. 아울러 SMPLE에서 새로이 추가된 자료구조와 함수 및 설비제어 방식등을 활용하여 실제 중형급 시스템에 대한 시뮬레이션 구현과 시스템 분석의 예를 보인다._3$", chain segment, with the activation energy of carriers from the shallow trap with 0.4[eV], in he amorphous regions.의 증발산율은 우기의 기상자료를 이용하여 구한 결과

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Complementarity between SDQ-SR and MMPI-A in Assessing Adolescents with Internalizing Disorder : A Preliminary Study (내재화장애 청소년의 평가에서 자기보고용 강점난점척도와 MMPI-A의 상호보완성 : 예비연구)

  • Shin, Kyo Jung;Ahn, Joung Sook;Lim, Jee Young;Lee, Jin Hee
    • Korean Journal of Psychosomatic Medicine
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    • v.26 no.1
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    • pp.9-18
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    • 2018
  • Objectives : The aims of this study were to investigate the psychopathology in adolescents with internalizing disorder using the self-report version of Strengths and Difficulties Questionnaire (SDQ-SR) and the Minnesota Multiphasic Personality Inventory for adolescents (MMPI-A), and to explore the complementarity between these two inventories for diagnostic assessment. Methods : Ninety-one patients aged 13-17 were divided into two groups by clinical diagnosis, 44 with internalizing disorder and 47 comparison group with other disorders. The data of SDQ-SR and MMPI-A completed by them were analyzed for the ability to predict internalizing disorder. Results : The logistic regression analysis revealed that diagnostic predictability increased by 2.27 times with every 1 point of SDQ-SR emotional symptom score increment. Comparison of ROC curves for internalizing disorders showed that the SE and SP of SDQ-SR emotional symptom with score over 4 was 88.94 and 78.72, respectively. For A-anx of MMPI-A with score over 56, SE and SP was 77.27 and 74.47, respectively. However, combination of these scales could not enhance the predictability of diagnostic classification more than that of SDQ-SR emotional symptom alone. Conclusions : Emotional symptom scale of SDQ-SR and A-anx, A-aln, A and INTR of MMPI-A should be important subscales for diagnosing the internalizing disorder of adolescents, however, which needs to be examined further with a larger sample size including normal control group.

Influence of Rainfall on Germination of Malting Barley at Harvesting Season (수확기의 강우가 맥주보리 발아에 미치는 영향)

  • 김석현;최창휴
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.40 no.6
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    • pp.705-710
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    • 1995
  • In order to find out the effect of rainfall at harvesting season on germination of malting barley, the seeds sampled from Cheju island and southern part of Korea were examined. The germination rate of seeds from Cheju island where rainfall was frequent at harvesting season, ranged from 46 to 71%, even though disease infection of the seeds was not that serious as would be expected. High sugar content of seed was resulted from the degradation of carbohydrates during the harvest season. From TZ test the rainfall - affected seeds were found to be highly viable but in the state of secondary dormancy. Results of cold germination test showed that the seeds were recovered from the secondary dormancy. Therefore, it was recommended that the seeds affected by the rainfall at harvesting season should be utilized after 12 months when the dormancy period terminated. The germination percent of the seeds was significantly enhanced by prechilling and / or 1 ppm gibberellic acid treatment. Different seed lots showed different rate of germination and the degree of dormancy.

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Prediction Equation for Post-Cessation Weight Gain in Men (남성에서 금연 후 체중 증가 예측을 위한 공식)

  • Lee, Gyu-Seung
    • Journal of the Korea Convergence Society
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    • v.8 no.9
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    • pp.347-355
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    • 2017
  • The purpose of this study is to develop a formula for predicting weight gain after six months of smoking cessation in men. The subjects are 412 men who succeeded in quitting smoking for 6 months at public health center smoking cessation clinic. They have been undergone nicotine patch therapy and weekly counseling for 8 weeks. The final success of smoking cessation has been confirmed by urinalysis. I have measured body composition and vascular compliance before and after the program. Weight(0.98) and BMI(0.85) have shown high positive correlation. The prediction is as follows. Post Weight(kg) = 1.04636 * Pre-Weight - 0.19535 * Pre-BMI + 4.43528. The explanatory power of this estimation equation is 82.46%(<.0001). Based on these results, it is necessary to develop education and programs for effective counseling of the smoking cessation clinic. In addition, research on women is needed.

Test Analysis of the 「General Computer」 in College Scholastic Ability Test (대학수학능력시험 직업탐구영역의 「컴퓨터 일반」 교과 문항 분석)

  • Kim, JongHye;Kim, Yong;Kim, JaMee;Lee, WonGyu
    • The Journal of Korean Association of Computer Education
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    • v.9 no.6
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    • pp.11-18
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    • 2006
  • The purpose of this paper is to draw problems from analyzing "General Computer" questions of Career Searching Section in the College Scholastic Ability Test in 2005 and 2006 and to offer some suggestions about them. For the qualitative research, this paper analyzed content validity. For the quantitative research, this paper analyzed item difficulty and item discrimination by using Bayesian 1.0 based on 2-parameter item response model and this paper analyzed item reliability and distracters by using Testan 1.0. By analyzing "General Computer" questions, this paper would like to improve the quality of items and estimate item difficulty. Therefore, "General Computer" questions could be suggested as materials for developing reliable and discriminative questions.

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1-D Analysis of Tandem-ejector for the Engine-bay Ventilation (엔진베이 환기용 탠덤 이젝터의 1차원 해석모델링 기법 개발)

  • Im, Ju Hyun;Kim, Myung Ho;Kim, Yeong Ryeon;Jun, Sang In
    • Journal of the Korean Society of Propulsion Engineers
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    • v.18 no.4
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    • pp.81-89
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    • 2014
  • Tandem-ejector has been devised for engine-bay cooling. In this study, 1-D model has been developed to analyze Tandem-ejector. In the model, the primary, the secondary and the tertiary flow conditions have been analyzed with isentropic process. The mixing process has been analyzed with conservation laws based on the control volume analysis. The total pressure loss of the primary flow has been analyzed under the matching condition between the static pressure of Tandem-ejector discharge flow and atmospheric pressure. Consequently, 1-D model can predict Tandem-ejector performance accurately and provide the performance map.

Significance of Non HDL-cholesterol and Triglyceride to HDL-cholesterol Ratio as Predictors for Metabolic Syndrome among Korean Elderly (한국 노인의 대사증후군 예측인자로서 혈중 Non HDL 콜레스테롤과 중성지방/HDL 콜레스테롤 비의 의의)

  • Hong, Seung Bok;Shin, Kyung-A
    • Korean Journal of Clinical Laboratory Science
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    • v.50 no.3
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    • pp.245-252
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    • 2018
  • We evaluated the possible clinical application of Non HDL-cholesterol and triglyceride to HDL-cholesterol ratio as a metabolic syndrome predictor for the elderly in Korea. 1,543 elderly persons aged 65 years or older who visited the health examination center of Gyeonggi Regional General Hospital from January 2015 to December 2017 and had a health checkup were enrolled in this study. Metabolic syndrome was diagnosed based on the American Heart Association/National Heart, Lung, and Blood Institute (AHA/NHLBI) standards. Abdominal obesity was assessed by the Asia-Pacific standards presented at the World Health Organization (WHO) West Pacific Region. Non-HDL-cholesterol was calculated as the difference between total cholesterol and HDL-cholesterol. The metabolic syndrome predictive power was higher for triglyceride to HDL-cholesterol ratio than for Non HDL-cholesterol. After correcting for related factors, triglyceride to HDL-cholesterol ratio was higher in the $4^{th}$ quartile, which had a higher risk of developing metabolic syndrome, than in the $1^{st}$ quartile. The optimal cutoff value for the triglyceride to HDL-cholesterol ratio that predicts the onset of metabolic syndrome was 2.8. triglyceride to HDL-cholesterol ratio can be a simple and practical indicator of the risk of metabolic syndrome.

Change of Cerebral Blood Flow during Tilt Tests in Children with Vasovagal Syncope (혈관미주 신경성 실신 소아에서 기립경사 검사 동안에 뇌혈류 변화)

  • Kim, Su Jung;Yom, Hye Won;Hong, Young Mi;Yoo, Jung Hyen;Lee, Sook Hee;Kim, Chong Hee
    • Clinical and Experimental Pediatrics
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    • v.46 no.10
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    • pp.983-988
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    • 2003
  • Purpose : Syncope appears to be common. However, the mechanism of syncope is not clear. Increased vagal activity and withdrawal of sympathetic stimulation cause hypotension, bradycardia and finally loss of consciousness. The purpose of this study was to evaluate changes of cerebral blood flow velocity, blood pressure, and heart rate during tilt test in children with vasovagal syncope. Methods : Sixty four children with a past history of syncope were evaluated. The stand up test was performed for 15 minutes after a rest at supine position for 10 minutes, followed by an $80^{\circ}$ tilt test lasting 45 minutes. If presyncope(lightheadedness, nausea, blurred vision, or sweating) or syncope occurred, the study was discontinued. 12-lead electrocardiography, echocardiography, and electroencephalography were performed. Transcranial Doppler study was performed at the middle cerebral artery with 2 MHz continuous Doppler probe in 10 children with positive tilt test. Systolic, diastolic, mean cerebral blood flow velocity, integral, and pulsatility index were measured with blood pressure, heart rate, and $O_2$ saturation. Results : The positive rate of tilt test was 31.3%(20/64). Systolic, diastolic, and mean cerebral blood flow velocity decreased significantly in absence of hypotension or bradycardia during presyncope. Time velocity integral of cerebral artery also decreased significantly. Conclusion : Decreased cerebral blood flow velocity can predict the presyncope manifestation. Impairment of autoregulation of cerebral blood flow might play an important role in the pathophysiology of vasovagal syncope.

The usefulness of skin test in evaluation of immunity to varicella (수두에 대한 면역력 평가에 있어서 피부 시험의 유용성)

  • Kim, Ji-Young;Lee, Hye Jeen;Kim, Me Jin;Kim, Young Ho;Jung, Ji A;Yang, Seung;Hwang, Il Tae;Lee, Hae Ran
    • Clinical and Experimental Pediatrics
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    • v.51 no.4
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    • pp.377-382
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    • 2008
  • Purpose : The aim of this study is to assess the usefulness of skin test by an inactivated, 1/50 diluted solution of attenuated varicella vaccine in evaluating the immune status to varicella. Methods : Total 41 subjects (22 males, 19 females, aged 1-32 years) were enrolled from July to August, 2005. Past medical history including varicella infection, varicella vaccination were investigated through questionnaires. The skin test solution was prepared from solution of attenuated varicella vaccine(Oka strain) which was inactivated by exposure to room temperature for 10 days and diluted at 1/50 with normal saline. Skin test was done by injecting 0.1 mL of the solution intradermally into the volar surface of the right forearm and sterile normal saline was used as a control on the left forearm. Positive reaction was defined when the transverse diameter of the induration was 5 mm or more. Serum varicella zoster virus specific IgG antibody test by ELISA (enzyme-linked immunosorbent assay) was done. Results : In adults, the sensitivity of the varicella zoster virus skin test compared to ELISA was 94.7% and the positive predictive value was 100%. In children, both the positive predictive value and specificity were 100% but the sensitivity and the negative predictive value were 50% and 30.7% respectively. Children showed smaller skin test reactivity compared to adults. Conclusion : The varicella zoster virus skin test using inactivated, 1/50 diluted solution of attenuated varicella vaccine was proved as one of the useful tools for evaluating the immunity and susceptibility of the varicella zoster virus.