• Title/Summary/Keyword: Diagnostic validation

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The Study to Diagnose the Road-Driver Compatibility III: Development and Validation of Diagnostic Model (운전자 주행 적합성 진단을 위한 연구 III: 진단모델 개발 및 검증)

  • Kim, Jung-Yong;Yoon, Sang-Young
    • Journal of Korean Institute of Industrial Engineers
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    • v.30 no.1
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    • pp.58-64
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    • 2004
  • In order to determine the level of safety on highway driving, the relationship between the psychophysiological signal and driving condition was investigated. In particular, a Demand-Effort model was conceptualized and used in this study to diagnose the suitability of driving by reading the patterns of psychophysiological signals. To run the model, threshold values were determined to categorize the high, moderate and low level of effort. To examine the sensitivity of the model, a cross-validation process was performed by collecting additional data. Further investigation need to be conducted to improve the sensitivity of the model for practical application.

Cutoff Values for Diagnosing Hepatic Steatosis Using Contemporary MRI-Proton Density Fat Fraction Measuring Methods

  • Sohee Park;Jae Hyun Kwon;So Yeon Kim;Ji Hun Kang;Jung Il Chung;Jong Keon Jang;Hye Young Jang;Ju Hyun Shim;Seung Soo Lee;Kyoung Won Kim;Gi-Won Song
    • Korean Journal of Radiology
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    • v.23 no.12
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    • pp.1260-1268
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    • 2022
  • Objective: To propose standardized MRI-proton density fat fraction (PDFF) cutoff values for diagnosing hepatic steatosis, evaluated using contemporary PDFF measuring methods in a large population of healthy adults, using histologic fat fraction (HFF) as the reference standard. Materials and Methods: A retrospective search of electronic medical records between 2015 and 2018 identified 1063 adult donor candidates for liver transplantation who had undergone liver MRI and liver biopsy within a 7-day interval. Patients with a history of liver disease or significant alcohol consumption were excluded. Chemical shift imaging-based MRI (CS-MRI) PDFF and high-speed T2-corrected multi-echo MR spectroscopy (HISTO-MRS) PDFF data were obtained. By temporal splitting, the total population was divided into development and validation sets. Receiver operating characteristic (ROC) analysis was performed to evaluate the diagnostic performance of the MRI-PDFF method. Two cutoff values with sensitivity > 90% and specificity > 90% were selected to rule-out and rule-in, respectively, hepatic steatosis with reference to HFF ≥ 5% in the development set. The diagnostic performance was assessed using the validation set. Results: Of 921 final participants (624 male; mean age ± standard deviation, 31.5 ± 9.0 years), the development and validation sets comprised 497 and 424 patients, respectively. In the development set, the areas under the ROC curve for diagnosing hepatic steatosis were 0.920 for CS-MRI-PDFF and 0.915 for HISTO-MRS-PDFF. For ruling-out hepatic steatosis, the CS-MRI-PDFF cutoff was 2.3% (sensitivity, 92.4%; specificity, 63.0%) and the HISTO-MRI-PDFF cutoff was 2.6% (sensitivity, 88.8%; specificity, 70.1%). For ruling-in hepatic steatosis, the CS-MRI-PDFF cutoff was 3.5% (sensitivity, 73.5%; specificity, 88.6%) and the HISTO-MRI-PDFF cutoff was 4.0% (sensitivity, 74.7%; specificity, 90.6%). Conclusion: In a large population of healthy adults, our study suggests diagnostic thresholds for ruling-out and ruling-in hepatic steatosis defined as HFF ≥ 5% by contemporary PDFF measurement methods.

Current Diagnosis and Management of Hypersensitivity Pneumonitis

  • Leone, Paolo Maria;Richeldi, Luca
    • Tuberculosis and Respiratory Diseases
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    • v.83 no.2
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    • pp.122-131
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    • 2020
  • Hypersensitivity Pneumonitis (HP) one of the most common interstitial lung diseases (ILDs) is characterized by exposure to an inhaled inciting antigen that leads to a host immunologic reaction determining interstitial inflammation and architectural distortion. The underlying pathogenetic mechanisms are unclear. The absence of international shared diagnostic guidelines and the lack of a "gold-standard" test for HP combined with the presence of several clinical and radiologic overlapping features makes it particularly challenging to differentiate HP from other ILDs, also in expert contests. Radiology is playing a more crucial role in this process; recently the headcheese sign was recognized as a more specific for chronic-HP than the extensive mosaic attenuation. Several classification proposals and diagnostic models have been advanced by different groups, with no prospective validation. Therapeutic options for HP have been limited to antigen avoidance and immunosuppressant drugs over the last decades. Several questions about this condition remain unanswered and there is a need for more studies.

Voltammetry of Constant Phase Elements: Analyzing Scan Rate Effects

  • Hyeonsu Je;Kwok-Fan Chow;Byoung-Yong Chang
    • Journal of Electrochemical Science and Technology
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    • v.15 no.3
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    • pp.427-435
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    • 2024
  • Here we introduce a new method for characterizing the constant phase element (CPE) in electrochemical systems using cyclic voltammetry (CV), presenting an alternative to the conventional electrochemical impedance spectroscopy (EIS) approach. While CV is recognized for its diagnostic capabilities in electrochemical analysis, it traditionally encounters difficulties in accurately measuring CPE systems due to a lack of clear linearity with scan rates, unlike capacitors. Our research demonstrates a linear relationship between current and scan rate on a log-log plot, enabling the calculation of n and Y0 values for CPE from the slopes of these linear relationships. For validation of our method, it is applied to two kinds of capacitors and the results agree with those measured by EIS. Although EIS is known to be accurate in measuring CPE systems, our alternative approach offers a timely and reasonably precise diagnostic tool, balancing between ease of use and accuracy, especially beneficial for preliminary assessments before conducting further in-depth analysis.

Fatigue Risk Management Systems Diagnostic Tool: Validation of an Organizational Assessment Tool for Shift Work Organizations

  • Gemma Maisey;Marcus Cattani;Amanda Devine;Ian C. Dunican
    • Safety and Health at Work
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    • v.13 no.4
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    • pp.408-414
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    • 2022
  • Background: This study aimed to determine and define the elements of an Fatigue Risk Management System (FRMS) diagnostic tool to assist an organization in systematically assessing its level of implementation of an FRMS. Methods: A modified Delphi process was used involving 16 participants with expertise in sleep science, chronobiology, and fatigue risk management within occupational settings. The study was undertaken in two stages 1) review of elements and definitions; 2) review of statements for each element. Each stage involved an iterative process, and a consensus rule of ≥ 60% was applied to arrive at a final list of elements, definitions, and statements. Results: Stage 1: a review of elements (n = 12) and definitions resulted in a final list of 14 elements and definitions with a consensus of ≥ 60% achieved after 2 Delphi rounds. Stage 2: a review of statements (n = 131) resulted in a final list of 119 statements with a consensus of ≥ 60% achieved after 2 Delphi rounds. Conclusion: The final FRMS diagnostic tool will enable an organization to systematically assess the level of implementation of their current FRMS and identify gaps and opportunities to reduce risk.

Recent Trends in Numerical Simulation of Liquid Sprays (분무 해석 시뮬레이션 기술의 최근 동향)

  • Huh, K.Y.
    • Journal of ILASS-Korea
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    • v.5 no.4
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    • pp.12-32
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    • 2000
  • The recent trends in numerical simulation of various spray phenomena are reviewed in this article. Major subtopics are atomization/breakup, collision/coalescence, wall collision, interfacial transfer, droplet dispersion, two-phase injection and spray combustion. Each submodel has been under continuous refinement and validation against more extensive data base by advanced laser diagnostic techniques. Most uncertainty in current spray simulations come from these physical submodels, not from excessive computational constraints.

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Experimental Investigation on Admittance-Based Piezoelectric Sensor Diagnostic Process (Admittance 기반 압전체 센서 자가진단절차의 영향인자 파악 및 실험적 고찰)

  • Jo, HyeJin;Park, Tong-Il;Park, Gyuhae
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.39 no.1
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    • pp.37-43
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    • 2015
  • Structural health monitoring (SHM) techniques based on the use of active-sensing piezoelectric (PZT) materials have received considerable attention. The validation of the PZT functionality during SHM operation is critical to successfully implementing a reliable SHM system. In this study, we investigated several parameters that affect the admittance-based sensor diagnostic process. We experimentally identified the temperature dependency of the active-sensor diagnostic process. We found that the admittance-based sensor diagnostic process can differentiate the adhesion conditions of bonding materials that are used to install a PZT on a structure, which is important when designing a sensor diagnostic process for an SHM system.

Development and validation of heuristics for usability improvements on web-based diagnostic assessment management system for primary-middle schoolers (초·중학생 대상 웹기반 진단평가관리시스템 사용성 개선을 위한 휴리스틱스 개발 및 검증)

  • Cha, Hyunjin;Hwang, YunJa
    • Journal of The Korean Association of Information Education
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    • v.21 no.6
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    • pp.675-690
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    • 2017
  • Preparing the 4th industrial revolution age, a diagnostic assessment management system which can collect nationwide data has been implemented and utilized for the development of the evidence-based educational policy. This study aims to develop heuristics to help to improve usability of such systems, which are utilized by primary and middle school community including teachers and students in the nationwide. To achieve the objective, previous studies related to the development of heuristics in the educational contexts as well as basic heuristics from Nielsen were reviewed, and usability problems of the web-based diagnostic-supplement system being currently utilized, as a sample system, were analyzed. Then, the first version of heuristics was developed. The developed heuristics were validated and revised through 2 rounds of the delphi methods with 15 experts. This study has an implication with preparing foundations on improving usability of such diagnostic assessment management system utilized by school community at the nationwide in educational contexts.

Screening Sarcopenia in Rural Community-Dwelling Older Adults in Korea

  • KIM, Mi-Kyoung;LEE, Ji-Yeon;GIL, Cho-Rong;KIM, Bo-Ram;CHANG, Hee-Kyung
    • International Journal of Advanced Culture Technology
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    • v.8 no.4
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    • pp.64-76
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    • 2020
  • Purpose: Several screening tools have been developed to identify sarcopenia in rural community-dwelling older adults. We aimed to compare the diagnostic accuracy of two such tools, namely the SARC-F and SARC-CalF assessments. Methods: This cross-sectional study on 388 community-dwelling older adults comprised 254 women and 134 men with a mean age of 77.8 ± 6.26 year in Korea. We assessed muscle mass, muscle strength, and physical performance using a bioimpedance analysis device, hydraulic hand dynamometer, and 4 m gait speed test, respectively. Three widely-used diagnostic criteria [the Asian Working Group for Sarcopenia (AWGS), European Working Group on Sarcopenia in Older People, and the International Working Group on Sarcopenia] were applied. Sensitivity and specificity analyses were performed on the SARC-CalF and SARC-F tests. We used receiver-operating characteristic curves and the area under the curves (AUCs) to compare the diagnostic accuracy of the assessments with regard to sarcopenia. Results: An analysis using four sets of diagnostic criteria showed that the prevalence of sarcopenia was 27.6% to 41.0%. Using the AWGS 2019 criteria as a reference standard, the SARC-CalF had a sensitivity of 83.02% and a specificity of 53.71% in the entire study population, whereas the SARC-F had a sensitivity of 79.87% and a specificity of 41.92%. The AUCs for the SARC-CalF and SARC-F tests were 0.725 (95% confidence interval 0.678-0.769) and 0.645 (95% confidence interval 0.595-0.693), respectively (p<001). In the analyses using the other three diagnostic criteria, similarity was also confirmed. Conclusion: SARC-CalF showed better sensitivity than did SARC-F when diagnosing sarcopenia in rural community-dwelling older adults. Further studies are needed to verify this finding in different populations.

Identification and validation of putative biomarkers by in silico analysis, mRNA expression and oxidative stress indicators for negative energy balance in buffaloes during transition period

  • Savleen Kour;Neelesh Sharma;Praveen Kumar Guttula;Mukesh Kumar Gupta;Marcos Veiga dos Santos;Goran Bacic;Nino Macesic;Anand Kumar Pathak;Young-Ok Son
    • Animal Bioscience
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    • v.37 no.3
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    • pp.522-535
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    • 2024
  • Objective: Transition period is considered from 3 weeks prepartum to 3 weeks postpartum, characterized with dramatic events (endocrine, metabolic, and physiological) leading to occurrence of production diseases (negative energy balance/ketosis, milk fever etc). The objectives of our study were to analyze the periodic concentration of serum beta-hydroxy butyric acid (BHBA), glucose and oxidative markers along with identification, and validation of the putative markers of negative energy balance in buffaloes using in-silico and quantitative real time-polymerase chain reaction (qRT-PCR) assay. Methods: Out of 20 potential markers of ketosis identified by in-silico analysis, two were selected and analyzed by qRT-PCR technique (upregulated; acetyl serotonin o-methyl transferase like and down regulated; guanylate cyclase activator 1B). Additional two sets of genes (carnitine palmotyl transferase A; upregulated and Insulin growth factor; downregulated) that have a role of hepatic fatty acid oxidation to maintain energy demands via gluconeogenesis were also validated. Extracted cDNA (complementary deoxyribonucleic acid) from the blood of the buffaloes were used for validation of selected genes via qRTPCR. Concentrations of BHBA, glucose and oxidative stress markers were identified with their respective optimized protocols. Results: The analysis of qRT-PCR gave similar trends as shown by in-silico analysis throughout the transition period. Significant changes (p<0.05) in the levels of BHBA, glucose and oxidative stress markers throughout this period were observed. This study provides validation from in-silico and qRT-PCR assays for potential markers to be used for earliest diagnosis of negative energy balance in buffaloes. Conclusion: Apart from conventional diagnostic methods, this study improves the understanding of putative biomarkers at the molecular level which helps to unfold their role in normal immune function, fat synthesis/metabolism and oxidative stress pathways. Therefore, provides an opportunity to discover more accurate and sensitive diagnostic aids.