• Title/Summary/Keyword: kappa values

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The Accuracy of Barr, Blethyn and Leech Scoring Systems on Plain Abdominal Radiographs in Childhood Constipation (소아에서 단순 복부 X-선 사진으로 변비를 진단하는데 있어 Barr, Blethyn과 Leech 점수체계의 정확도)

  • Moon, Ji-Young;Moon, Kyung-Rye
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.10 no.1
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    • pp.44-50
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    • 2007
  • Purpose: The role of plain, abdominal radiography in childhood constipation has not been fully evaluated. The aim of this study was to determine the accuracy and reliability of scoring systems assessing a fecal load on plain, abdominal radiographs in children with functional constipation. Methods: Plain, abdominal radiographs from 38 constipated children and 39 control children were examined by four independent inspectors, pediatric residents. Four inspectors independently scored the radiographs according to three different scoring systems Barr, Blethyn, and Leech. No clinical information about the patients was available to the inspectors. Each abdominal radiograph was evaluated on two separate occasions, one week apart. Kappa coefficients were calculated as indicators of inter-and intra-inspector variability, coefficients <0.20, 0.21~0.40, 0.40~0.60, 0.61~0.80 and 0.81~1.00 were considered to indicate poor, fair, moderate, good, and very good agreement, respectively. Results: The Leech score showed the highest reproducibility: the inter-inspector agreement was uniformly very good on two separate occasions (${\kappa}$ values of 0.88, 0.91, 0.92, 0.86 in the first time and 0.81, 0.88, 0.89, 0.84 in the second time). Agreement using the Barr score was good (${\kappa}$ values of 0.66, 0.67, 0.69, 0.66 in the first time and 0.68, 0.65, 0.71, 0.68 in the second time). However, agreement for the Blethyn score was the lowest of the three scoring systems. The Leech scoring system had the highest sensitivity and specificity compared to the Barr scoring system for the diagnosis of functional constipation by plain, abdominal radiographs. Conclusion: The Leech score appeared to be a more accurate and reliable method because of its high sensitivity and specificity for evaluating the fecal load on plain, abdominal radiographs in children with functional constipation. Therefore, the Leech scoring system was found to be the most useful for assessment for the degree of constipation on plain, abdominal radiographs in children.

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Anti-inflammatory Activities of Methanolic Extracts from Different Rose Cultivars (품종별 장미꽃 메탄올 추출물의 항염증 효과)

  • Lee, Seon-Mi;Li, Lin;Sung, Jeehye;Yang, Jinwoo;Kim, Younghwa;Jeong, Heon Sang;Lee, Junsoo
    • The Korean Journal of Food And Nutrition
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    • v.28 no.4
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    • pp.551-557
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    • 2015
  • The genus Rosa (Rosaceae) is an abundant source of phenolics and is traditionally used as a food supplement and as herbal medicine. Various plant phenolics are known to have anticancer, antioxidant, and anti-inflammatory properties. In this study, we investigated the anti-inflammatory effects of rose methanolic extracts (RMEs) from four different rose cultivars (Macarena, Onnuri, Oklahoma, and Colorado) in lipopolysaccharide (LPS)-activated RAW 264.7 cells. Our results demonstrated that pretreatment of REMs ($500{\mu}g/mL$) significantly reduced NO production by suppressing iNOS protein expression in LPS-stimulated cells. Anti-inflammatory effects by RMEs were observed in the following order: Oklahoma > Colorado > Onnuri > Macarena. Consistent with this finding, RMEs inhibited the translocation of $NF-{\kappa}B$ from the cytosol to the nucleus via the suppression of $I{\kappa}B{\alpha}$ phosphorylation and also inhibited LPS-stimulated $NF-{\kappa}B$ transcriptional activity. These findings suggest that RMEs exert anti-inflammatory actions and help to elucidate the mechanisms underlying the potential therapeutic values of RMEs. Therefore, RMEs could be regarded as a potential source of natural anti-inflammatory agents.

Evaluation of vegetation index accuracy based on drone optical sensor (드론 광학센서 기반의 식생지수 정확도 평가)

  • Lee, Geun Sang;Cho, Gi Sung;Hwang, Jee Wook;Kim, Pyoung Kwon
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.40 no.2
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    • pp.135-144
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    • 2022
  • Since vegetation provides humans with various ecological spaces and is also very important in terms of water resources and climatic environment, many vegetation monitoring studies using vegetation indexes based on near infrared sensors have been conducted. Therefore, if the near infrared sensor is not provided, the vegetation monitoring study has a practical problem. In this study, to improve this problem, the NDVI (Normalized Difference Vegetation Index) was used as a reference to evaluate the accuracy of the vegetation index based on the optical sensor. First, the Kappa coefficient was calculated by overlapping the vegetation survey point surveyed in the field with the NDVI. As a result, the vegetation area with a threshold value of 0.6 or higher, which has the highest Kappa coefficient of 0.930, was evaluated based on optical sensor based vegetation index accuracy. It could be selected as standard data. As a result of selecting NDVI as reference data and comparing with vegetation index based on optical sensor, the Kappa coefficients at the threshold values of 0.04, 0.08, and 0.30 or higher were the highest, 0.713, 0.713, and 0.828, respectively. In particular, in the case of the RGBVI (Red Green Red Vegetation Index), the Kappa coefficient was high at 0.828. Therefore, it was found that the vegetation monitoring study using the optical sensor is possible even in environments where the near infrared sensor is not available.

The change of land cover classification accuracies according to spatial resolution in case of Sunchon bay coastal wetland (위성영상 해상도에 따른 순천만 해안습지의 분류 정확도 변화)

  • Ku, Cha-Yong;Hwang, Chul-Sue
    • Journal of the Korean association of regional geographers
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    • v.7 no.1
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    • pp.35-50
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    • 2001
  • Since remotely sensed images of coastal wetlands are very sensitive to spatial resolution, it is very important to select an optimum resolution for particular geographic phenomena needed to be represented. Scale is one of the most important factors in spatial analysis techniques, which is defined as a spatial and temporal interval for a measurement or observation and is determined by the spatial extent of study area or the measurement unit. In order to acquire the optimum scale for a particular subject (i.e., coastal wetlands), measuring and representing the characteristics of attribute information extracted from the remotely sensed images are required. This study aims to explore and analyze the scale effects of attribute information extracted from remotely sensed coastal wetlands images. Specifically, it is focused on identifying the effects of scale in response to spatial resolution changes and suggesting a methodology for exploring the optimum spatial resolution. The LANDSAT TM image of Sunchon Bay was classified by a supervised classification method, Six land cover types were classified and the Kappa index for this classification was 84.6%. In order to explore the effects of scale in the classification procedure, a set of images that have different spatial resolutions were created by a aggregation method. Coarser images were created with the original image by averaging the DN values of neighboring pixels. Sixteen images whose resolution range from 30 m to 480 m were generated and classified to obtain land cover information using the same training set applied to the initial classification. The values of Kappa index show a distinctive pattern according to the spatial resolution change. Up to 120m, the values of Kappa index changed little, but Kappa index decreased dramatically at the 150m. However, at the resolution of 240 m and 270m, the classification accuracy was increased. From this observation, the optimum resolution for the study area would be either at 240m or 270m with respect to the classification accuracy and the best quality of attribute information can be obtained from these resolutions. Procedures and methodologies developed from this study would be applied to similar kinds and be used as a methodology of identifying and defining an optimum spatial resolution for a given problem.

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Application of Principle in Metal-Ligand Complexation to Remove Heavy Metals;Time Effects (금속(金屬)-Ligand 착염형성(錯鹽形成)에 의한 중금속(重金屬) 제거(除去) 방법(方法)에 관한 연구(硏究);시간(時間)의 영향(影響))

  • Yang, Jae-E;Shin, Yong-Keon;Kim, Jeong-Je
    • Korean Journal of Environmental Agriculture
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    • v.12 no.1
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    • pp.51-57
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    • 1993
  • Objective of this research was to assess the influence of reaction time on the heavy metal-organic ligand complexation by employing kinetic models. Aqueous solutions of humic (HA) or fulvic acid (FA) were reacted with metal solutions with 1:1 ratio to form complexes. Efficiency of organic ligand on metal removal was determined by separating the precipitates from solution using $0.45\;{\mu}m$ filter paper. Complexation between Cu or Pb and HA or FA followed the first- or multiple first order kinetics, largely depending on metal concentration and kind of organic ligand. Amounts of precipitates were increased proportionally with reaction time but reached to quasiequilibrium where rate of precipitate formation was not varied with time. Copper-ligand complexation was, irrespective of ligand, fitted to the single first order kinetics at Cu concentrations lower than $300{\mu}M$, but this was fitted to the multiple first order kinetics at Cu concentrations higher than $300{\mu}M$. As increasing Cu concentrations, the precipitates formed more readily, judging from the increased rate constants (${\kappa}$). In the multiple first order kinetics, ${\kappa}$ was decreased as reaction steps proceeded. Most of Cu-ligand precipitates were formed within 15 min. FA precipitated Cu more rapidly than HA did. ${\kappa}$ for Pb-HA complexation was decreased but that for Pb-FA reaction was increased, as increasing Pb concentration. Most of Pb-organic ligand complexation occurred within 30 min. Afterwards, ${\kappa}$ values were relatively small and not affected much by time. Pb was precipitated by humic acid more readily than Cu when metal concnetrations were $200{\sim}300{\mu}M$. However, when metal concentrations were in the ranges of $400{\sim}500{\mu}M$, a reversed tendency was observed.

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Detection of Hidden Proximal Caries using Q-ray view in Primary Molars (Q-ray view를 이용한 유구치의 숨은 인접면 우식증 탐지)

  • Jeong, Younwook;Lee, Hyoseol;Choi, Hyungjun;Lee, Jaeho;Choi, Byungjai;Kim, Seongoh
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.3
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    • pp.209-217
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    • 2015
  • The purpose of this study was to evaluate the ability of Q-ray view (All-in-one Bio, Seoul, Korea) in detection of proximal caries in primary molars with sound marginal ridges. Thirty two children aged 3-9 years (average $5.6{\pm}1.3$ years old) were chosen, and two examiners evaluated 100 proximal surfaces of primary molars with sound marginal ridges. The teeth were examined with; (a) visual examination, (b) Q-ray view, (c) DIAGNOdent (KaVo, Biberach, Germany) and (d) digital periapical radiography. Kappa statistic was used to assess the agreement between each examination method and the degree of caries progression. The kappa values for enamel caries were 0.15 (visual examination), 0.10 (Q-ray view), 0.25 (DIAGNOdent) and 0.68 (digital periapical radiography). The kappa values for dentinal caries were 0.34 (visual examination), 0.56 (Q-ray view), 0.44 (DIAGNOdent) and 0.70 (digital periapical radiography). Although Q-ray view showed low diagnostic ability in detection of enamel caries, it was effective in detection of hidden proximal caries extended into dentin. Q-ray view would be a useful and simple device which could aid pediatric dentists in detection of hidden proximal caries in primary molars especially when examining uncooperative children or disabled persons.

Level of Agreement and Factors Associated With Discrepancies Between Nationwide Medical History Questionnaires and Hospital Claims Data

  • Kim, Yeon-Yong;Park, Jong Heon;Kang, Hee-Jin;Lee, Eun Joo;Ha, Seongjun;Shin, Soon-Ae
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.5
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    • pp.294-302
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    • 2017
  • Objectives: The objectives of this study were to investigate the agreement between medical history questionnaire data and claims data and to identify the factors that were associated with discrepancies between these data types. Methods: Data from self-reported questionnaires that assessed an individual's history of hypertension, diabetes mellitus, dyslipidemia, stroke, heart disease, and pulmonary tuberculosis were collected from a general health screening database for 2014. Data for these diseases were collected from a healthcare utilization claims database between 2009 and 2014. Overall agreement, sensitivity, specificity, and kappa values were calculated. Multiple logistic regression analysis was performed to identify factors associated with discrepancies and was adjusted for age, gender, insurance type, insurance contribution, residential area, and comorbidities. Results: Agreement was highest between questionnaire data and claims data based on primary codes up to 1 year before the completion of self-reported questionnaires and was lowest for claims data based on primary and secondary codes up to 5 years before the completion of self-reported questionnaires. When comparing data based on primary codes up to 1 year before the completion of selfreported questionnaires, the overall agreement, sensitivity, specificity, and kappa values ranged from 93.2 to 98.8%, 26.2 to 84.3%, 95.7 to 99.6%, and 0.09 to 0.78, respectively. Agreement was excellent for hypertension and diabetes, fair to good for stroke and heart disease, and poor for pulmonary tuberculosis and dyslipidemia. Women, younger individuals, and employed individuals were most likely to under-report disease. Conclusions: Detailed patient characteristics that had an impact on information bias were identified through the differing levels of agreement.

NF-κB Activation and PPAR Transactivational Effects of a New Aliphatic Acid Amide from Pericarps of Zanthoxylum piperitum

  • Yang, Seo Young;Tai, Bui Huu;Song, Seok Bean;Li, Wei;Yan, Xi Tao;Sun, Ya Nan;Nguyen, Phuong Thao;Kim, Young Ho
    • Bulletin of the Korean Chemical Society
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    • v.35 no.8
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    • pp.2361-2366
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    • 2014
  • A new aliphatic acid amide, ZP-amide F (1), and eight known compounds, including bungeanumamide A (2), tumuramide C (3), ZP-amide A (4), ZP-amide B (5), ZP-amide D (6), hyperin (7), quercitrin (8), and (-)-sesamin (9), were isolated from pericarps of Zanthoxylum piperitum. The effects of these compounds on $TNF{\alpha}$-induced NF-${\kappa}B$ activation and transactivational activity of PPARs, including $PPAR{\alpha}$, $PPAR{\beta}({\delta})$ and $PPAR{\gamma}$ subtypes, were evaluated. Compounds 7 and 9 exhibited potent inhibitory effects on $TNF{\alpha}$-induced NF-${\kappa}B$ activation with $IC_{50}$ values of 5.50 and $8.10{\mu}M$, respectively. Aliphatic acid amide compounds 3, 4 and 6 displayed enhanced effects on PPAR transactivational activity with $EC_{50}$ values of 47.12, 19.13 and $12.02{\mu}M$, respectively. Among them, compound 4 demonstrated an increase in $PPAR{\alpha}$ transactivational activity, compound 3 showed a moderate increase on all PPAR subtypes, whereas compound 6 displayed weak PPAR transactivational activity.

NF-κB Inhibition and PPAR Activation by Phenolic Compounds from Hypericum perforatum L. Adventitious Root

  • Li, Wei;Ding, Yan;Quang, Tran Hong;Nguyen, Thi Thanh Ngan;Sun, Ya Nan;Yan, Xi Tao;Yang, Seo Young;Choi, Chun Whan;Lee, Eun Jung;Paek, Kee Yoeup;Kim, Young Ho
    • Bulletin of the Korean Chemical Society
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    • v.34 no.5
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    • pp.1407-1413
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    • 2013
  • A new compound, perforaphenonoside A (1), along with 11 known compounds (2-12) were isolated from a methanol extract of adventitious roots of Hypericum perforatum. Their chemical structures were elucidated using chemical and physical methods as well as comparison of NMR and mass spectral data with previously reported data. Their inhibition of NF-${\kappa}B$ and activation of PPAR was measured in HepG2 cells using a luciferase reporter system. Among the compounds 3, 6, 7 and 12 inhibited NF-${\kappa}B$ activation stimulated by TNF${\alpha}$ in a dose-dependent manner, with $IC_{50}$ values ranging from 0.85 to $8.10{\mu}M$. Moreover, compounds 1-3, 7, 11 and 12 activated the transcriptional activity of PPARs in a dose-dependent manner, with $EC_{50}$ values ranging from 7.3 to $58.7{\mu}M$. The transactivational effects of compounds 1-3, 7, 11 and 12 were evaluated on three individual PPAR subtypes. Among them, compound 2 activated $PPAR{\alpha}$ transcriptional activity, with 153.97% stimulation at $10{\mu}M$, while compounds 1, 2 and 11 exhibited transcriptional activity of $PPAR{\gamma}$, with stimulation from 124.76% to 126.91% at $10{\mu}M$.

Diagnostic accuracy of digital images for detection of artificial chemical proximal caries (화학적 인공 인접면 치아우식증의 디지털 영상 진단능 평가)

  • Park Geum-Mee;Nah Kyung-Soo
    • Imaging Science in Dentistry
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    • v.33 no.2
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    • pp.91-95
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    • 2003
  • Purpose : To compare the diagnostic accuracy of proximal caries detection between Kodak Insight film and the Biomedisys CDX2000HQ digital (CCD) sensor. Materials and Methods: 156 proximal surfaces of extracted teeth, 78 of which had chemical artificial caries, were used in this study. Four observers interpreted the radiographs using a five-point confidence rating scale to record their diagnoses. The results were analyzed by receiver operating characteristic curves, ANOVA and Kappa values. Result: Analysis using receiver operating characteristic curves revealed the areas under each curve which indicated a diagnostic accuracy of 0.951 in Insight and 0.952 in CDX2000HQ digital sensor. ANOVA revealed no significant differences between the two images with respect to caries detection. Kappa values indicated that the mean intra-observer agreement was 0.85 and inter-observer agreement 0.71 in conventional radiography. In digital radiography, the mean intra-observer agreement was 0.84 and inter-observer agreement 0.72. Conclusion: The results suggest that no significant difference exists between the two modalities for artificial caries detection and that CDX2000HQ was as good as Insight film for this purpose.

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