• Journal of Periodontal and Implant Science
• /
• 제48권5호
• /
• pp.317-325
• /
• 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.

• 대한원격탐사학회지
• /
• 제37권6_3호
• /
• pp.2011-2025
• /
• 2021

고해상도 위성영상 분류에서 다양한 색상을 가지는 건물들과 같이 동일한 클래스에 속하지만 색상 정보가 상이한 화소들이 클래스를 구성하는 경우에는 클래스를 대표하는 색상 정보를 결정하기가 어렵다. 본 논문에서는 클래스의 대표적인 색상 정보를 결정하는 문제를 해결하기 위해 HSV(Hue Saturation Value)의 색상 채널을 분할하고 객체 기반의 분류를 수행하는 방법을 제안한다. 이를 위해 RGB 컬러 공간의 입력 영상을 HSV 컬러 공간의 성분으로 변환한 후에 색상(Hue) 성분을 일정 간격의 서브채널로 분할한다. 각 색상 서브채널에 대해 최소거리기반의 영상 분류를 수행하고 분류 결과를 영상 분할 결과와 결합한다. 제안한 방법을 아리랑3A 위성영상에 적용한 결과 overall accuracy는 84.97%, kappa coefficient는 77.56%로 나타났고 상용 소프트웨어 대비 분류 정확도가 10% 이상 개선된 결과를 보였다.

• 한국노년학
• /
• 제30권1호
• /
• pp.81-91
• /
• 2010

본 연구는 노인의 인지능력을 기능적 관점에서 평가하기 위해 개발된 인지수행척도(Cognitive Performance Scale, CPS)가 우리나라 요양병원의 임상환경에 적합한지를 검증하기 위해 수행되었다. 이를 위해 CPS와 MMSE(Mini-Mental State Examination), GDS(Global Deterioration Scale)간의 수렴타당도, 조사자간 일치도, 내적 일관성을 측정하였다. 2개의 치매전문 요양병원 입원환자 393명을 대상으로 해당병원의 간호사가 표준화된 작성지침을 이용하여 CPS를 직접 측정하였고, 이 점수가 해당병원의 의사, 간호사가 측정한 GDS점수, 건강보험 청구 자료의 MMSE점수와 상관성이 있는지 분석하였다. 또한 동일 환자에 대해 또 한명의 간호사가 CPS를 한 번 더 측정하여 기존의 CPS점수와 비교하였다. 그 결과 CPS는 GDS와 중등도 이상의 상관관계(r=0.742, p<0.0001)를 보였고, MMSE와는 높은 상관관계(r=-0.794, p<0.0001)를 보였다. CPS의 Cronbach ${\alpha}$ 계수는 0.742로 높은 내적 일관성을 나타냈고 조사자간 일치도를 보기 위해 산출한 문항별 Kappa 계수는 0.772~1.000이었다. 우리나라 요양병원 환경에서도 노인의 인지능력을 기능적 관점에서 평가하기 위해 CPS를 사용하는 것이 타당하다고 판단된다.

• Journal of Korean Academy of Oral Health
• /
• 제41권4호
• /
• pp.262-266
• /
• 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.

• Imaging Science in Dentistry
• /
• 제50권4호
• /
• pp.299-307
• /
• 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.

• Korean Journal of Radiology
• /
• 제22권7호
• /
• pp.1034-1043
• /
• 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.

• Mass Spectrometry Letters
• /
• 제15권2호
• /
• pp.79 -94
• /
• 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.

• 한국수산과학회지
• /
• 제15권2호
• /
• pp.171-177
• /
• 1982

대한해협에서의 해수의 광학적 성질을 조사하기 위하여, 1950년 7월에 대한해협 체주도의 15개 관측점에서 투명도, 수색, 태양광의 4가지 색(Clear;$400\sim720nm,\;Red: 600\sim700nm,\;Green : 475\sim600nm,\;Blue; 400\sim475nm$)에 대한 해수의 표면조도 및 수중조도 등을 조사한 결과를 요약하면 다음과 같다. 1. 본 조사해역의 평균투명도는 18.3m($11.5\sim24m$)였고, 평균수색은 3.5($3\sim4$)였다. 2. 해수의 평균흡수계수는 적색광이 $0.129(0.090\sim0.270), 백색광이 0.098(0.063\sim0.183), 청색광이 0.087(0.036\sim0,142), 녹색연이 0.081(0.044\sim0.142)$순으로 적게 나타났다. 3. 해수의 흡수계수 $\kappa$와 투명도 D와의 관계는 적색광이 $\kappa=2.33/D$, 백색광이 $\kappa=1.72/D$, 음색광이 $\kappa=1.44/D$, 녹색광이 $\kappa=1.41/D$순으로 작게 나타났다. 4. 태양열선의 표면광에 대한 평균해중투과율은 녹색광(수심 5m층에서 $63.20\%$, 15m층에서 $30.47\%$, 30m층에서 $10.03\%$, 50m층에서 $2.24\%$), 청색광(수심 5m층에서 $62.70\%$, 15m층에서 $30.00\%$, 30m층에서 $9.75\%$, 50m층에서 $1.70\%$), 백색광(수심 5m층에서 $57.90\%$, 15m층에서 $23.40\%$, 30m층에서 $6.23\%$, 50m층에서$1.00\%$), 적색광(수심 5m층에서 $48.95\%$, 15m층에서 $14.81\%$ 30m층에서$2.76\%$, 50m층에서 $0.28\%$)의 순으로 적게 나타났다. 5. 천명도지에서의 태양열의 해중투과율은 녹색광이 표면광의 $23.89\%(16.5\sim38\%)$, 청색광이 $23.42\%(14\sim44\%)$, 백색광이 $17.29\%(12.7\sim27\%)$, 적색광이 $9.70\%(4.5\sim13\%)$의 순으로 적게 나타났다.

• 대한기계학회논문집
• /
• 제12권3호
• /
• pp.590-598
• /
• 1988

본 연구에서는 난류유동이론을 적용하여 2차원 스크린의 후류에 관한 유동특 성을 연구하였다. 이를 위해 적합한 난류모델 및 스크린의 존재를 고려한 수치해석 방법을 연구하였다. 스크린의 저항이 커서 스크린 하류유동이 역류가 되는 경우도 포함하였다.

• Journal of Electrochemical Science and Technology
• /
• 제15권2호
• /
• pp.276-290
• /
• 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.