• Title/Summary/Keyword: predictive validity

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Validity of the diagnosis of diabetic microvascular complications in Korean national health insurance claim data

  • Kim, Hyung Jun;Park, Moo-Seok;Kim, Jee-Eun;Song, Tae-Jin
    • Annals of Clinical Neurophysiology
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    • v.24 no.1
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    • pp.7-16
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    • 2022
  • Background: There is inadequate information on the validation of diabetic microvascular complications in the Korean National Health Insurance Service data set. We aimed to validate the diagnostic algorithms regarding the nephropathy, neuropathy, and retinopathy of diabetes. Methods: From various secondary and tertiary medical centers, we selected 6,493 patients aged ≥ 40 years who were diagnosed with diabetic microvascular complications more than once based on codes in the 10th version of the International Classification of Diseases (ICD-10). During 2019 and 2020, we randomly selected the diagnoses of 200 patients, 100 from each of two hospitals. The positive predictive value (PPV), negative predictive value, error rate, sensitivity, and specificity were determined for each diabetic microvascular complication according to the ICD-10 codes, laboratory findings, diagnostic studies, and treatment procedure codes. Results: Among the 200 patients who visited the hospital more than once and had the diagnostic codes of diabetic microvascular complications, 142, 110, and 154 patients were confirmed to have the gold standard of diabetic nephropathy (PPV, 71.0%), diabetic neuropathy (PPV, 55.0%), and diabetic retinopathy (PPV, 77.0%), respectively. The PPV and specificity of diabetic nephropathy (PPV, 71.0-81.4%; specificity, 10.3-53.4%), diabetic neuropathy (PPV, 55.0-81.3%; specificity, 66.7-76.7%) and diabetic retinopathy (PPV, 77.0-96.6%; specificity, 2.2-89.1%) increased after combining them with the laboratory findings, diagnostic studies, and treatment procedures codes. These change trends were observed similarly for both hospitals. Conclusions: Defining diabetic microvascular complications using ICD-10 codes and their related examination codes may be a feasible method for studying diabetic complications.

Real-time semantic segmentation of gastric intestinal metaplasia using a deep learning approach

  • Vitchaya Siripoppohn;Rapat Pittayanon;Kasenee Tiankanon;Natee Faknak;Anapat Sanpavat;Naruemon Klaikaew;Peerapon Vateekul;Rungsun Rerknimitr
    • Clinical Endoscopy
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    • v.55 no.3
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    • pp.390-400
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    • 2022
  • Background/Aims: Previous artificial intelligence (AI) models attempting to segment gastric intestinal metaplasia (GIM) areas have failed to be deployed in real-time endoscopy due to their slow inference speeds. Here, we propose a new GIM segmentation AI model with inference speeds faster than 25 frames per second that maintains a high level of accuracy. Methods: Investigators from Chulalongkorn University obtained 802 histological-proven GIM images for AI model training. Four strategies were proposed to improve the model accuracy. First, transfer learning was employed to the public colon datasets. Second, an image preprocessing technique contrast-limited adaptive histogram equalization was employed to produce clearer GIM areas. Third, data augmentation was applied for a more robust model. Lastly, the bilateral segmentation network model was applied to segment GIM areas in real time. The results were analyzed using different validity values. Results: From the internal test, our AI model achieved an inference speed of 31.53 frames per second. GIM detection showed sensitivity, specificity, positive predictive, negative predictive, accuracy, and mean intersection over union in GIM segmentation values of 93%, 80%, 82%, 92%, 87%, and 57%, respectively. Conclusions: The bilateral segmentation network combined with transfer learning, contrast-limited adaptive histogram equalization, and data augmentation can provide high sensitivity and good accuracy for GIM detection and segmentation.

Assessment of Validity of RT-PCR and EIA for The Detection of Hepatitis C Virus Infection (C형 간염의 진단을 위한 역전사중합효소연쇄반응과 효소면역측정법의 타당성 평가)

  • Son, Byung-Chul;Chun, Jin-Ho;Park, Yeong-Hong;Shin, Hai-Rim;Cho, Kyu-Il;Kim, Jong-Han;Jung, Kui-Oak;Lee, Jong-Tae;Lee, Chae-Un;Paik, Nak-Whan
    • Journal of Preventive Medicine and Public Health
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    • v.28 no.2 s.50
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    • pp.526-541
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    • 1995
  • This study was conducted to estimate the validity of reverse transcriptase-polymerase chain reaction(RT-PCR) compared to enzyme immunoassay(EIA) for the detection of hepatitis C virus (HCV) infection. EIA for antibody to HCV(anti-HCV) and RT-PCR for HCV was executed on the subjects from Pusan and Kyungnam area with questionnaire survey to collect some relating factors of HCV infection. As the result from 617 cases, the prevalence of HCV infection was 1.5% by EIA and 3.7% by RT-PCR(p<0.05), and the age standardized rate was 1.7% and 3.4% by EIA and RT-PCR, respectively. The prevalence of hepatitis B surface antigen(HBsAg) was 6.8% by enzyme linked immunosorbent assay(ELISA) and the age standardized rate was 7.7%. It was the higher in male group comparing to female group(p<0.01). Both of the prevalence of HCV and HBsAg were higher in elevated asparate aminotransferase(AST) and alanine aminotransferase (ALT) group than in normal AST and ALT group(p<0.01). There was no specific risk factor of HCV infection. Though the degree of agreement of EIA and RT-PCR by gamma statistics was 97.2%, it showed a significant difference between the two methods(p<0.01). For the detection of HCV infection, positive predictive value of EIA was 66.7% and negative predictive value of EIA was 97.2%. This study suggests that negative result to anti-HCV by EIA didn't mean the free state of HCV infection, therefore it would be helpful that further monitoring for HCV infection by RT-PCR in the case of elevated AST and ALT and/or clinically suspected.

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A Validation of the Korean Version of the Filial Responsibility Scale-Adult (한국판 가족돌봄의무 척도(Filial Responsibility Scale-Adult)의 타당화)

  • Lee, Sun Young;Ahn, Hyun-nie
    • Korean Journal of Culture and Social Issue
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    • v.26 no.3
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    • pp.259-282
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    • 2020
  • This study examines the validity of the Filial Responsibility Scale-Adult (Past), developed by Jurkovic and Thirkield (1999), among Korean university students in their twenties. First, a preliminary scale consisting of 30 items was developed by translating the original scale into Korean and item analysis and exploratory factor analysis were conducted on 249 subjects. Based on the exploratory factor analysis, items in the emotional parentification factor were either deleted or included in the other remaining factors, resulting in a two-factor model containing 15 items. In order to confirm this, a confirmatory factor analysis was conducted on 318 independent subjects. As a result of a confirmatory factor analysis of the two competing models - the three-factor model consisting of 30 items based on the original scale and the two-factor(emotional experience and caring behavior) model consisting of 15 items gained as a result of the exploratory factor analysis - the two-factor model showed more suitable and the original scale was revised accordingly. The convergent validity, discriminant validity and predictive validity were all found to be satisfactory. Based on such results, implications, limitations and suggestions on follow-up studies are discussed.

Validation of Five Organ Pattern Identification Questionnaire (오장변증설문지 예측 타당도 연구)

  • Jang, Eun Su;Kim, Yun Young;Yoo, Ho Ryong;Lee, Eun Jung;Choi, Jeong Jun;Kim, Eun Seok;Jung, In Chul
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.32 no.3
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    • pp.165-170
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    • 2018
  • The aim of this study was to investigate the predictive validity of the five organ pattern identification questionnaire(FOPIQ). Data collection was conducted from 190 people who were randomly selected from the general population living in D city from October 2016 to June 2017, and the collected data were analyzed by SPSS 23.0 Statistics Program. Pearson correlation coefficient was used to know the relation between the expert's score and FOPIQ's one. The cut-off value, sensitivity and specificity were analyzed through ROC-curve. Significant p was <.05. The pearson correlation coefficient was .735, .756, .762, .736, and .513 between individual score of FOPIQ and that of the experts in liver, heart, spleen, lung, and kidney, respectively. The cut-off value of the FOPIQ was 46.209, 47.276, 45.336, 48.823, and 42.508 in liver, heart, spleen, lung, and kidney respectively. The AUC derived from the cut-off value of the FOPIQ was .907, .854, .888, .902, and .781 respectively. This study suggests that the FOPIQ could be valid to apply for general population in clinics as well as health checkups.

The Effect of Organizational Justice on the Followership and Organizational Citizenship Behavior - the Moderating Effect of Leader-Member Exchange - (의료기관 사무직 종사자의 조직공정성이 Followership과 조직시민행동에 미치는 영향 - LMX 조절효과 -)

  • Ahn, Jae-Sun;Kim, Jong-Doo;Kim, Moon-Jung
    • Korea Journal of Hospital Management
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    • v.23 no.2
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    • pp.1-17
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    • 2018
  • Purposes: Based on samples of government officials who are working at public health centers, following research examines the Effect of Organizational Justice on the relationships between Followership and Organizational Citizenship Behavior and analyzes the moderating effect of Leader-Member Exchange. Methodology: For the methods, Sphericity verification, Exploratory factor analysis, Correlation analysis, Causal relation, Mediating effect of followership and Moderating Effect of The Leader-Member Exchange have been analyzed with SPSS 22.0 & AMOS 22.0 Ver. Findings: As a result of Correlation analysis, Predictive validity and Construct validity have meaningful effect. Also, In case of Path analysis, distributive justice and interactional justice have meaningful effect but procedural justice has no such effect on Followership. As a result of Mediated effect of followership analysis, distributive and interactional justice have positive impact on (Organizational and Interpersonal). As to the mediation effect of followership analysis, It is shown that distributive and Followership have meaningful effect on In-group, not Out-group. Lastly, It is shown that procedural justice and Followership have no meaningful effect on both In-group and Out-group. Practical Implications: For the implications, distributive justice and interactional justice have positive impact on Followership, while procedural justice has no such impact on Followership. Also, It also possibly has same result to the moderating effect of Leader-Member Exchange. Consequently, It is recognized that a fair process without a fair result cannot be valued. also, We can know that reward for procedural justice is evaluated to kind of negative.

The Development of Performance Evaluation Program of Building Integrated Photovoltaic System (건물일체형 태양광발전 시스템 성능평가 프로그램 개발)

  • Kim, Beob-Jeon;Park, Jae-Wan;Yoon, Jong-Ho;Shin, U-Cheul
    • KIEAE Journal
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    • v.15 no.4
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    • pp.85-90
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    • 2015
  • Purpose: In design and planning Building Integrated Photovoltaic(BIPV) system can reduce cost by replacing building facade as construction material such as roofs, outer walls and windows as well as generating electricity. BIPV system should be applied at the early stage of architectural design. However, it is hard to decide whether using BIPV system or not for architects and builders who are not professional at BIPV system because performance of system is considerably influenced by types of module, installation position, installation methods and so on. It is also hard for experts because commercialized analytical program of photovoltaic systems is too complicated to use and domestic meteorological data is limited to partial areas. Therefore, we need evaluation program of BIPV system which can easily but accurately interpret generating performance and evaluate validity of BIPV system at the early stage of architectural design even for inexpert. Method: In this study, we collected meteorological data of domestic major region and analyzed generation characteristic of BIPV system by using PVsyst(commercialized software) in accordance with regions, types of solar module, place and methods of installation and so on. Based on this data, we developed performance evaluation program of BIPV system named BIPV-Pro, through multiple regression analysis and evaluated its validity. Result: When comparing predictive value of annual average PR and annual electricity production of BIPV-Pro an that of PVsyst, each of root mean square error was 0.01897 and 123.9.

A Study on Development and Validation of Digital Literacy Measurement Tool (디지털 리터러시 측정도구의 개발 및 예측타당성 검증 연구)

  • Chung, Mi-hyun;Kim, Jaehyoun;Hwang, Ha-sung
    • Journal of Internet Computing and Services
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    • v.22 no.4
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    • pp.51-63
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    • 2021
  • Recently, virtual communication has become a standard tool due to the outbreak of COVID-19. Likewise online communication is emerging as an essential competency. In this study, we aimed to develop a comprehensive and systematic digital literacy measurement tool reflecting the changes and needs of society. Construct variables were drawn by characterizing existing digital literacy measurement tools. Thirty-four items corresponding to the concept of each variable were developed. The developed measurement tool was then evaluated in the form of surveys from university students belonging to the digital native generation, and the reliability and validity were performed through exploratory and confirmatory factor analysis. The digital literacy measurement tool contained five sub-factors and twenty-five questions. In addition, hierarchical regression analysis was performed to verify the predictive validity of digital literacy sub-factors. Based on these findings, the implication of future research is discussed.

Validation of the Risk Prediction Tool for Wound Infection in Abdominal Surgery Patients (복부 수술환자의 수술부위 감염 위험 예측 도구의 타당도 검증)

  • Jung, Hyun Kyoung;Lee, Eun Nam
    • Journal of Korean Critical Care Nursing
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    • v.15 no.3
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    • pp.75-87
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    • 2022
  • Purpose : This retrospective investigation study aimed to determine the predictive validity of superficial surgical site infection assessment tools by measuring the risk score at the surgical site. Methods : This study included patients hospitalized to the general surgery department of a Hospital from January 2021 to December 31, 2021. The inclusion criteria were age ≥19 years, general abdominal surgery under general anesthesia, and hospital stay longer than 2 days. Patients who had undergone transplantation were excluded. Results : Tool validity results showed that tools including surgical time and operative procedure were more accurate than previously developed tools, with a sensitivity of 71.1%, specificity of 71.4%, positive prediction of 12.3%, negative prediction of 97.8%, and area under the curve of 0.743 (95% confidence interval, 0.678~0.745). The tool's cut-off score was 15, and the risks of infection was increased by 6.14 times at or above this cut-off point. Preoperative hair removal period, surgical wound classification, surgery time, body temperature on the second day after surgery, drainage tube type, and suture type affected the risk of infection at the surgical site. Conclusion : The incidence of healthcare-associated infections has been declining in the past decade; however, surgical site infections still account for a considerable proportion. Therefore, early identification of high-risk groups for surgical site infection is crucial for reducing the incidence of surgical site infection using appropriate management.

Differences of Teachers and Students' Perceptions on Teaching Skills (교사의 수업전문성에 관한 교사와 학생의 인식 차이)

  • Lee, Okhwa
    • Korean Educational Research Journal
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    • v.43 no.1
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    • pp.125-152
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    • 2022
  • The purpose of this study is to examine the differences of perceptions of teachers and students regarding teaching skills. For the analysis, data was collected by ICALT(International Comparative Analysis of Learning and Teaching) class observation tool and students survey called My Teacher Questionnaire. a student survey. The data of teachers and students can be compared because as the two tools have seven common domains(Safe and stimulating learning climate, Efficient organization, Clear and structured instructions, Intensive and activating teaching, Adjusting instructions and learner processing to inter-learner differences, Teaching learning strategies, Learner engagement). In 2016, in Daejeon, Chungbuk and Chungnam. trained teachers collected data from 106 classes, and 2,866 students responded the survey. The reliability and validity of the two tools, class observation and MTQ(My Teacher Questionnaire) are proven to be satisfactory for use in Korean schools. Students perception on teaching was high, particularly when students are in lower grades and learning major subjects like English, Korean, and math. The domain of higher teaching skills, male students show higher perceptions while female students reported higher perceptions on lower-level teaching skill domains. To compare the perceptions of teachers and students, the predictive reliability of students engagement against teaching skill domains was used. Teachers showed higher predictive reliability on lower teaching skill domains while students showed higher predictive reliability on higher teaching skill domains. It is recommended for further study to develop a professional development model using a teacher class observation tool and the My Teacher Questionnaire for pre-service teachers and school teachers.